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KMID : 0359920060250050851
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Korean Journal of Nephrology
2006 Volume.25 No. 5 p.851 ~ p.855
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Acute Hydrothorax Due to HCC Involving Diaphragm during Peritoneal Dialysis
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Ahn Yong-Sung
Kang Jin
Song Moo-Kon
Park Kee-Tae
Park Tae-Ik
Ahn Seung-Jae
Song Sang-Heon
Lee Dong-Won
Lee Soo-Bong
Kwak Ihm-Soo
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Abstract
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Massive hydrothorax is uncommon but well recognized complication of peritoneal dialysis. Possible mechanisms include a disorder of lymphatic drainage, pleuro-peritoneal pressure gradient, and congenital diaphragmatic defects. Hydrothorax in a CAPD patient caused by infiltrative disease or malignancy is very rare. Recently, two cases of hydrothorax in CAPD patients caused by systemic amyloidosis involving diaphragm were reported. However, no case of pleuro-peritoneal communication secondary to HCC infiltrating diaphragm was reported. This case was of a hydrothorax due to HCC in a CAPD patient. We performed video-assited thoracoscopic resection of diaphragmatic mass, diaphragmatic re pair and thoracoscopic talc pleurodesis. This case cause of a hydrothorax in a CAPD patient. (Korean J Nephrol 2006;25(5):851-855)
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KEYWORD
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Hydrothorax, Leakage, Hepatocellular carcinoma, VATS
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