A Case of Recurrent Peritonitis Associated with Colon Cancer in a Continuous Ambulatory Peritoneal Dialysis Patient.
- Author:
Byeong Kab YOON
1
;
Sun Young LEE
;
Gun Ho PARK
;
Seoung Woo LEE
;
Joon Ho SONG
;
Moon Jae KIM
Author Information
1. Kidney Disease Research Group
- Publication Type:Case Report
- Keywords:
Recurrent peritonitis;
Colon cancer;
CAPD
- MeSH:
Adenocarcinoma;
Barium;
Biopsy;
Catheters;
Colon*;
Colonic Neoplasms*;
Enema;
Female;
Humans;
Middle Aged;
Mucins;
Pathology;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis*;
Tomography, X-Ray Computed
- From:Korean Journal of Nephrology
2004;23(4):666-670
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recurrent peritonitis is the major complication of continuous ambulatory peritoneal dialysis (CAPD) and a common reason for discontinuation of this form of therapy. Polymicrobial peritonitis by gram- negative organisms suggests intraabdominal pathology not directly associated with CAPD, necessitating early removal of catheter and/or abdominal exploration. The source of infection may still be gastrointestinal, especially in light of the polymicrobial gram-negative peritonitis and rarely be gastrointestinal malignancy. We recently experienced a case of 64-year-old woman with recurrent CAPD peritonitis by polymicrobial gram-negative organisms, originated from colon cancer. Colon cancer was confirmed by barium enema, abdominal CT and colonoscopic biopsy. She underwent right hemicolectomy and removal of catheter simultaneously. The biopsy revealed a moderately to poorly differentiated adenocarcinoma with abundant mucin production.
