대한핵의학회지 (The Korean Journal of Nuclear Medicine)

대한핵의학회 (The Korean Society of Nuclear Medicine)
권호 표지

CAPD중에 생긴 흉막삼출 2예

Two Cases of Massive Hydrothorax Complicating Peritoneal Dialysis

  • 배상균 (고신대학교 의학부 핵의학교실) ;
  • 염하용 (고신대학교 의학부 핵의학교실) ;
  • 임학 (고신대학교 의학부 내과학교실)
  • Bae, Sang-Kyun (Department of Nuclear Medicine, College of Medicine, Kosin University) ;
  • Yum, Ha-Yong (Department of Nuclear Medicine, College of Medicine, Kosin University) ;
  • Rim, Hark (Department of Internal Medicine, College of Medicine, Kosin University)
  • 발행 : 1994.05.15
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초록

Massive hydrothorax complicating continuous ambulatory peritoneal dialysis (CAPD) is relatively rare. A 67-year-old male and a 23-year-old female patients during CAPD presented massive pleural effusion. They have been performing peritoneal dialysis due to end-stage renal disease for 8 months and 2 weeks respectively. We injected $^{99m}Tc$-labelled radiopharmaceutiral (phytate and MAA, respectively) into peritoneal cavity with the dialysate. The anterior, posterior and right lateral images were obtained. The studies reveal visible radioactivity in the right chest indicating the communication between the peritoneal and the pleural space. After sclerotherapy with tetracycline, the same studies reveal no radioactivity in the right chest suggesting successful therapy. We think nuclear imaging is a simple and noninvasive method for the differential diagnosis of pleural effusion in patients during CAPD and the evaluation of therapy.

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