Pleuro-peritoneal Fistula
Cite this case
[...]. Pleuro-peritoneal Fistula. CTICases. Published August 4, 2022. https://cticases.com/c/b2e5y
Imaging findings
A patient on peritoneal dialysis developed pleural effusions. A fistulogram technique using contrast injected into the dialysis catheter demonstrated communication between the peritoneum and the pleural space.
Key takeaways
Peritoneal dialysis can lead to pleural effusions through trans-diaphragmatic pathways, even in the absence of macroscopic diaphragmatic holes, likely mediated by lymphatic drainage or membrane permeability.
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