Acute hydrothorax after commencing continuous ambulatory peritoneal dialysis

A 53-year-old woman with end-stage renal disease developed dyspnea soon after commencing continuous ambulatory peritoneal dialysis (CAPD) for 1 day. Low drainage volume of dialysate (infusion 1500 ml and drainage 1100 ml) was also noted. The chest radiograph taken at emergency department showed massive right-sided pleural effusion (Figure 1), which was transudative in character with high glucose level. The diagnosis of pleuroperitoneal …