A Mysterious Case of Pleuroperitoneal Leak Leading to Recurrent Hydrothorax in a Child with Nephrotic Syndrome

Abstract

We describe a young girl of steroid resistant nephrotic syndrome with rapidly reaccumulating right sided pleural effusion. On evaluation, the patient was diagnosed with right side pleuro-peritoneal leak leading to recurrent right hydrothorax. To the best of our knowledge, hydrothorax due to transdiaphragmatic shunting in a nephrotic patient has not been reported earlier.