Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter.
Eur J Case Rep Intern Med
; 3(3): 000378, 2016.
Article
em En
| MEDLINE
| ID: mdl-30755866
ABSTRACT
A patient undergoing peritoneal dialysis was admitted with acute peritoneal dialysis-related peritonitis. On the 10th day of intraperitoneal antibacterial therapy, the patient's dialysate developed a green color. Gallbladder perforation was revealed. The patient underwent a conventional cholecystectomy with a preserved peritoneal catheter. There are few cases in the medical literature about green dialysate. In all of them, peritoneal dialysis catheters were removed after cholecystectomy. The present case report shows a patient with an intact peritoneal catheter and with no further complications. LEARNING POINTS Bilirubin measurement in a dialysate helps to differentiate gallbladder perforation from other causes of peritonitis.Urgent diagnostics and treatment is required in patients with changes in dialysate colour.Preservation of perithoneal catheter can be considered after a laparotomy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Eur J Case Rep Intern Med
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Letônia