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Ann Thorac Surg 1999;67:1518-1522
© 1999 The Society of Thoracic Surgeons

Collective Reviews

Thoracic complications of peritoneal dialysis

G. Chad Hughes, MDa, Terry L. Ketchersid, MDa, Jonathan M. Lenzen, MDa, James E. Lowe, MDa

a Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA

Address reprint requests to Dr Lowe, Duke University Medical Center, Box 3954, Durham, NC 27710
e-mail: lowe0004{at}mc.duke.edu

Approximately 20% of the 100,000 patients in the United States currently undergoing dialysis therapy for end-stage renal disease use the technique of peritoneal dialysis. We present a patient on peritoneal dialysis who developed a large posterior mediastinal mass, which on surgical exploration was found to be a paraesophageal hernia sac filled with omentum and dialysis fluid. We use this case as an introduction to review the thoracic complications of peritoneal dialysis.






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