Although with pleuroperitonal leaks on PD, you may trial avoidance of a daydwell and decreasing fill volumes to see if this works.  Most often this is not very successful– therefore for most, interruption of PD with transition to HD (6 weeks- few months) is required for the defect to seal. In the sparce literature, ~50% are successful but many are not, requiring further intervention such as pleurodesis (case reports) but I would probably not recommend this unless your patient is absolutely opposed to HD in the longterm and is not a transplant candidate.    <a>see: K. M. Chow, C. C. Szeto, and P. K.-T. Li, “Review articles: management options for hydrothorax complicating peritoneal dialysis,” Seminars in Dialysis, vol. 16, no. 5, pp. 389–394, 2003. </a>