Massive hydrothorax in a case of hemolytic uremic syndrome: conservative treatment without interruption of peritoneal dialysis

The hydrothorax is a known but rare complication of acute and chronic peritoneal dialysis. Patients with hemolytic uremic syndrome seem to be more prone to this complication. Usually discontinuation of treatment is necessary due to the lack of resolution or recurrence of hydrothorax and transfer to hemodialysis, but some patients can continue dialysis with modification of technique and with resolution of hydrothorax. Case report: a child with hemolytic uremic syndrome presented a massive hydrothorax during acute peritoneal dialysis which resolved with dialysis schema modification without interruption of treatment.