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Unilateral recurrent pleural effusion in a renal transplant patient
Joint Authors
Binnani, Pooja
Gupta, Ruchi
Kedia, Nikhil
Bahadur, Madan Mohan
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 23, Issue 1 (28 Feb. 2012), pp.106-109, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2012-02-28
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
Abstract EN
Pleural effusion is a frequent complication in patients undergoing hem dialysis (HD).
We report a patient on HD with a novel cause of recurrent unilateral pleural effusion.
A 45- year-old female patient on long-term maintenance HD presented to us with recurrent unilateral pleural effusion.
She had a history of poor quality dialysis, severe anemia and severe hypertension.
Despite correcting these factors and even after undergoing successful renal transplantation, she continued to have recurrent effusion.
Left upper extremity venography demonstrated severe stenosis of the subclavian vein and an increased venous flow in the ipsilateral arteriovenous (AV) fistula.
Ligation of the AV fistula led to dramatic resolution of the pleural effusion.
Hem dialysis patients who develop unexplained pleural effusions ipsilateral to a functioning AV fistula should be investigated for stenosis in the brachiocephalic vein, particularly those patients who have had previous catheterizations of the jugular or subclavian veins on the same side as the effusion.
Correcting the stenosis by venous angioplasty and / or ligation of the ipsilateral fistula can dramatically resolve the pleural effusion.
A high index of suspicion is required to diagnose this complication for meaningful intervention.
American Psychological Association (APA)
Binnani, Pooja& Gupta, Ruchi& Kedia, Nikhil& Bahadur, Madan Mohan. 2012. Unilateral recurrent pleural effusion in a renal transplant patient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 23, no. 1, pp.106-109.
https://search.emarefa.net/detail/BIM-292927
Modern Language Association (MLA)
Binnani, Pooja…[et al.]. Unilateral recurrent pleural effusion in a renal transplant patient. Saudi Journal of Kidney Diseases and Transplantation Vol. 23, no. 1 (Feb. 2012), pp.106-109.
https://search.emarefa.net/detail/BIM-292927
American Medical Association (AMA)
Binnani, Pooja& Gupta, Ruchi& Kedia, Nikhil& Bahadur, Madan Mohan. Unilateral recurrent pleural effusion in a renal transplant patient. Saudi Journal of Kidney Diseases and Transplantation. 2012. Vol. 23, no. 1, pp.106-109.
https://search.emarefa.net/detail/BIM-292927
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 109
Record ID
BIM-292927