A Case of Perforated Acute Cholecystitis in CAPD Patient who Returned to CAPD after Laparoscopic Cholecystectomy.
- Author:
Jinsoo MIN
1
;
Se Na JANG
;
Hyung Wook KIM
;
Shin Young SHIN
;
Yong Sung WON
;
Dong Chan JIN
Author Information
1. Department of Internal Medicine, St. Vincent Hospital, The Catholic University of Korea, Korea. jindongc@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
CAPD;
Peritonitis;
Laparoscopic cholecystectomy
- MeSH:
Bile;
Cerebral Infarction;
Cholecystectomy, Laparoscopic;
Cholecystitis;
Cholecystitis, Acute;
Female;
Heart Failure;
Hemodiafiltration;
Humans;
Laparoscopy;
Myocardial Infarction;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis;
Sepsis;
Shock, Septic
- From:Korean Journal of Nephrology
2010;29(1):178-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a 59 year-old female diabetic CAPD patient with severe peritonitis due to perforated acute cholecystitis. Because of heart failure due to old myocardial infarction and cerebral infarction she had been treated with CAPD for 5 years in bed-ridden state. Initial presentation was dark brown colored peritoneal dialysate effluent (changed greenish bile color later) and septic shock. We diagnosed perforated acute cholecystitis by computerized tomography three days after improvement of sepsis. She was received laparoscopic cholecystectomy and continuous venovenous hemodiafiltration for two weeks and returned to peritoneal dialysis without complication. Secondary CAPD peritonitis with cholecystitis or bowel disease should be carefully considered in patients with specific dialysate color, which could be cured with laparoscopic surgery, and then patients can be returned to CAPD again without complication.
