01-02-2008 | Brief Report
Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis
Published in: Pediatric Nephrology | Issue 2/2008
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We report on a 2-year-old boy on automated peritoneal dialysis (PD) with a history of multiple hernias and dialysate leaks who developed pericardial effusion. Magnetic resonance imaging (MRI) demonstrated a peritoneo-pericardial fistula. Dialysis had to be discontinued, since head-down tilt reproducibly induced significant hypotension. In PD patients with pericardial effusion a peritoneo-pericardial leak should be considered.