Hydrothorax is an uncommon but well-recognized complication of peritoneal dialysis. Here, we describe a case of hydrothorax in a peritoneal dialysis patient who underwent video-assisted thorascopic surgery and talc pleurodesis for a diaphragmatic defect to preserve peritoneal dialysis capabilities. We reviewed the literature for 2001-2005 to assess how others have handled this situation and whether patients have returned successfully to peritoneal dialysis.
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