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Scientific paper - Case study
CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 70 (2016), Suplement 2; 81-84. urn:nbn:hr:184:065619
Markić, Dean; Gršković, Antun; Rahelić, Dražen; Materljan, Mauro; Trošelj, Marin; Pavletić Peršić, Martina; Vujičić, Božidar; Orlić, Lidija; Vujičić, Vanesa; Pavlović, Ivan; Rački, Sanjin

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Markić, D., Gršković, A., Rahelić, D., Materljan, M., Trošelj, M., Pavletić Peršić, M. ... Rački, S. (2016). CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS. Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 70. (Suplement 2), 81-84. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:065619

Markić, Dean, et al. "CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS." Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, vol. 70, no. Suplement 2, 2016, pp. 81-84. https://urn.nsk.hr/urn:nbn:hr:184:065619

Markić, Dean, Antun Gršković, Dražen Rahelić, Mauro Materljan, Marin Trošelj, Martina Pavletić Peršić, Božidar Vujičić, et al. "CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS." Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske 70, no. Suplement 2 (2016): 81-84. https://urn.nsk.hr/urn:nbn:hr:184:065619

Markić, D., et al. (2016) 'CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS', Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, 70(Suplement 2), pp. 81-84. Available at: https://urn.nsk.hr/urn:nbn:hr:184:065619 (Accessed 16 April 2024)

Markić D, Gršković A, Rahelić D, Materljan M, Trošelj M, Pavletić Peršić M, and sur.. CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS. Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske [Internet]. 2016 [cited 2024 April 16];70(Suplement 2):81-84. Available at: https://urn.nsk.hr/urn:nbn:hr:184:065619

D. Markić, et al., "CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS", Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, vol. 70, no. Suplement 2, pp. 81-84, 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:065619. [Accessed: 16 April 2024]

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Metadata
Title (english)CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS
Title (croatian)CT PERITONEOGRAFIJA – DIJAGNOSTIČKA METODA U OTKRIVANJU “SLATKOG HIDROTORAKSA” U BOLESNIKA NA PERITONEJSKOJ DIJALIZI
AuthorDean Markić
AuthorAntun Gršković
AuthorDražen Rahelić
AuthorMauro Materljan
AuthorMarin Trošelj
AuthorMartina Pavletić Peršić
AuthorBožidar Vujičić
AuthorLidija Orlić
AuthorVanesa Vujičić
AuthorIvan Pavlović
AuthorSanjin Rački
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Urology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Abstract (english)
Peritoneal dialysis (PD) can be considered as the first method to start dialysis treatment because it improves the patient quality of life and survival compared to hemodialysis (in the first two years). Hydrothorax is a rare complication of PD. We present a 66-year-old female patient diagnosed with end-stage renal disease caused by chronic tubulointerstitial nephritis. One month after peritoneal catheter had been inserted, the patient started continuous ambulatory PD. Several weeks after PD had been introduced, the patient complained of cough and weight gain. Chest x-ray revealed pleural effusion on the right side and pleural puncture proved a high concentration of glucose in the aspirate, and the diagnosis of ‘sweet hydrothorax’ was made. Additionally, computerized tomography (CT) peritoneography clearly showed contrast leak from peritoneal cavity to thoracic cavity. PD was stopped and the catheter for PD removed. Now, the patient is on the waiting list for kidney transplantation. ‘Sweet hydrothorax’ is a rare complication of PD and CT peritoneography is the most sensitive noninvasive diagnostic tool. In most patients, PD is replaced by hemodialysis, although surgical treatment is also possible.
Abstract (croatian)
Peritonejska dijaliza (PD) se može smatrati metodom dijalitičkog izbora, jer u odnosu na hemodijalizu poboljšava kvalitetu života i preživljenje bolesnika u prve dvije godine. Hidrotoraks je rijetka komplikacija PD. Prikazujemo 66-godišnju bolesnicu kojoj je dijagnosticiran završni stadij kronične bubrežne bolesti uzrokovan kroničnim tubulointersticijskim nefritisom. Jedan mjesec od postavljanja katetera za PD bolesnica je započela s dijalitičkim liječenjem. Nekoliko tjedana od početka dijalitičkog liječenja bolesnica se počela žaliti na kašalj i porast težine. RTG snimka prsnih organa pokazala je desnostrani pleuralni izljev. Njegovom punkcijom dokazana je visoka koncentracija glukoze u aspiratu te je postavljena dijagnoza “slatkog hidrotoraksa”. CT peritoneografija je nedvojbeno pokazala da kontrast iz abdominalne šupljine ide u pleuralnu. PD je zaustavljena, a kateter za PD izvađen. Sad se bolesnica nalazi na listi čekanja za transplantaciju bubrega. “Slatki hidrotoraks” je rijetka komplikacija bolesnika na PD, a CT peritoneografija je najosjetljiviji neinvazivni dijagnostički test. U većine bolesnika PD se zamijeni hemodijalizom, ali je moguće i kirurško liječenje.
Keywords (english)
Keywords (croatian)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske
Numberingvol. 70, no. Suplement 2, pp. 81-84
p-ISSN1330-0164
e-ISSN1848-8897
URN:NBNurn:nbn:hr:184:065619
Publication2016
Document URLhttps://hrcak.srce.hr/180177
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2019-04-26 13:31:59