Left-sided massive hydrothorax in a DKD patient on CAPD using icodextrin

We report a case of a 51-year-old male patient with end-stage kidney disease secondary to diabetic kidney disease who presented with an atypical left-sided pleural effusion within 2 weeks of commencement on continuous ambulatory peritoneal dialysis (PD) using icodextrin dialysis solution. PD was withheld for the time being and the patient was switched to temporary hemodialysis and started on high-dose diuretics which led to the resolution of his symptoms. Here we discuss the clinical presentation, diagnostic techniques, and management options for treating hydrothorax in the PD population.