Document Detail

Pneumoperitoneum--rare complication in end stage renal disease patient on automated peritoneal dialysis.
MedLine Citation:
PMID:  19480302     Owner:  NLM     Status:  MEDLINE    
Peritoneal dialysis (PD) is the first option for patients in end stage renal disease (ESRD). Several complications such as peritonitis, exit-site or tunnels infections are encountered during PD. Other complications such as pain, proteic malnutrition, hyperglycemia, hypertension, cardiac failure are described in patients on continuous ambulatory peritoneal dialysis (CAPD) or APD (automated peritoneal dialysis). Rare complications are incapsulated sclerosing peritonitis, hemoperitoneum or pneumoperitoneum. We present the case of a female patient, 66 years old, on cyclic continuous peritoneal dialysis (APD-CCPD) admitted for pneumoperitoneum developed during a dialysis change from a CCPD schedule, due to an error in the Tenckhoff catheter and peritoneal dialysis manipulation. The treatment consisted in extracting the air during manual peritoneal dialysis changes, with the patient in Trendelenburg position and pressing on the abdominal wall, without any other complications.
Camelia Ionescu; Monica Ecobici; Dana Olaru; C Stănescu; Ioana Lupescu; M Voiculescu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Romanian journal of internal medicine = Revue roumaine de médecine interne     Volume:  46     ISSN:  1220-4749     ISO Abbreviation:  Rom J Intern Med     Publication Date:  2008  
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304507     Medline TA:  Rom J Intern Med     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  351-5     Citation Subset:  IM    
Center of Internal Medicine-Nephrology, Fundeni Clinical Institute, Bucharest, Romania.
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MeSH Terms
Head-Down Tilt
Kidney Failure, Chronic / complications*,  therapy
Peritoneal Dialysis / adverse effects*,  methods
Peritoneal Dialysis, Continuous Ambulatory / adverse effects
Pneumoperitoneum / etiology*,  therapy
Treatment Outcome

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