A case of thoracoscopic repair for pleuroperitoneal communication in a patient undergoing continuous ambulatory peritoneal dialysis
Pleuroperitoneal communication (PPC) has been reported as a potential complication of continuous ambulatory peritoneal dialysis (CAPD). It is a rare condition associated with CAPD and there is no established standard treatment. Once PPC develops, CAPD cannot be continued in approximately half of the patients, who would then need to be switched to hemodialysis. We present the case of a patient on CAPD who presented with PPC; we repaired the diaphragmatic defect by thoracoscopic surgery and CAPD could be continued for 31 months after the surgery. We discuss a potentially effective strategy for PPC syndrome with a review of the literature.
