Document Detail


Abdominal pseudocysts following peritoneal dialysis-associated peritonitis: a report of 3 cases.
MedLine Citation:
PMID:  20338461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Common complications of peritoneal dialysis are peritonitis, leakages, hernias, catheter dislocation, and loss of ultrafiltration. We describe 3 cases of abdominal pseudocysts with progressive difficulty instilling and draining peritoneal dialysis fluid. The 3 patients had been treated with peritoneal dialysis for 1, 2, and 6 years. Two patients had experienced previous episodes of peritonitis and 1 had signs of peritonitis when the pseudocyst was first detected. In all 3 patients, ultrasound and computed tomographic scans, obtained because of progressive decreases in solute clearance, showed dialysate entrapped in a cyst that enclosed the inner tip of the Tenckhoff catheter. The cyst was resected in 2 patients, and the Tenckhoff catheter was removed in 1 patient. Histologic samples were not suggestive of encapsulating peritoneal sclerosis. Abdominal pseudocysts are a rare complication after peritoneal dialysis therapy, but are reported in 1% of patients with ventriculoperitoneal shunts. The outcome of our described patients was good, although they had to be switched to hemodialysis therapy.
Authors:
Gernot Baer; Albrecht Wagner; Jochen Selbach; Mike Otto; Stefan M Weiner
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  55     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-26     Completed Date:  2010-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e15-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Nephrology, Rheumatology, Immunology and Hypertension, Krankenhaus der Barmherzigen Brueder, Trier, Germany.
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Adult
Aged
Catheterization / adverse effects*
Cysts / complications*,  etiology*
Female
Humans
Male
Middle Aged
Peritoneal Dialysis / instrumentation*
Peritonitis / complications*,  etiology*

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