Peritoneopericardial leakage is a rare but important complication of peritoneal dialysis. Peritoneal scintigraphy is reported to be effective in diagnosing the peritoneopericardial communication. Although switching to hemodialysis is commonly recommended, reducing exchange volumes and performing peritoneal dialysis in an upright sitting position may also be considered particularly in pediatric patients. Here we presented a 10-year-old girl in whom peritoneopericardial leakage was demonstrated with peritoneal scintigraphy and was successfully managed by conservative approach.
DufekSHolttaTFischbachM, et al. European Paediatric Dialysis Working Group. Pleuro-peritoneal or pericardio-peritoneal leak in children on chronic peritoneal dialysis—a survey from the European Paediatric Dialysis Working Group. Pediatr Nephrol2015; 30(11): 2021–2027. https://doi.org/10.1007/s00467-015-3137-z
2.
DerynckMRJonesSRachinskyIV, et al.Successful reintroduction of peritoneal dialysis after peritoneal-pericardial fistula in a child: a case report. Perit Dial Int2018; 38(2): 154–156. https://doi.org/10.3747/pdi.2017.00049
3.
BorzychDLeySSchaeferF, et al.Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis. Pediatr Nephrol2008; 23(2): 335–338. https://doi.org/10.1007/s00467-007-0615-y
4.
TeohCWNadelHArmstrongK, et al.Peritoneal-pericardial communication in an adolescent on peritoneal dialysis. Pediatr Nephrol2016; 31(1): 153–156. https://doi.org/10.1007/s00467-015-3206-3
