Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis最新文献

{"title":"Open surgical insertion of tenckhoff catheters for peritoneal dialysis.","authors":"Kai Ming Chow, Cheuk-Chun Szeto","doi":"10.3747/pdi.2009.00247","DOIUrl":"https://doi.org/10.3747/pdi.2009.00247","url":null,"abstract":"502 There are two important prerequisites for a successful peritoneal dialysis (PD) program: availability of peritoneal access and experience gathered from a reasonable center size (1,2). These two factors are, in turn, closely related because PD uptake rate depends on a comprehensive infrastructure and support system to provide PD catheter access (3,4). Peritoneal access provides the key to PD technique success. Although more than 40 years have passed since Henry Tenckhoff described the permanent silicone catheter with a Dacron cuff, the primary design of the Tenckhoff catheter has remained the most widely used type (5). The ways to insert peritoneal Tenckhoff catheters vary between centers (6). They can be inserted surgically using an open dissection technique, or with the use of a laparoscope or a peritoneoscope. Alternatively, catheters may be inserted percutaneously after blind (or with modified Seldinger technique) puncture of the abdomen; a variation on this blind technique is the fluoroscopyassisted method. There are geographical differences in terms of preferred approach. Peritoneoscopic or laparoscopic insertion is preferred to blind insertion in the United States, whereas open surgical insertion is often practiced in Asia, including in Hong Kong (1,7). In this issue of Peritoneal Dialysis International, Liu et al. (8) report their results for Tenckhoff catheter insertion by an open dissection method under local anesthesia in a Malaysian dialysis unit. A total of 384 catheters were reviewed. How do their results compare with data from other groups? A recent review of mechanical complications with peritoneal catheters evaluated published case series of at least 50 catheters with a follow-up of 3 months or longer (9). Of the 6 studies involving open surgical insertion of PD catheters, the incidence of flow dysfunction was over 10%, with a weighted mean of 13.7% (9). This comes close to the 13.3% rate of catheter migration and/or obstruction observed within 4 weeks of Tenckhoff catheter insertion in the report by OPEN SURGICAL INSERTION OF TENCKHOFF CATHETERS FOR PERITONEAL DIALYSIS","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"502-3"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The self-locating peritoneal catheter: fifteen years of experience.","authors":"Nicola Di Paolo, Luigi Capotondo, Simone Brardi, Giulia Nicolai","doi":"10.3747/pdi.2009.00207","DOIUrl":"https://doi.org/10.3747/pdi.2009.00207","url":null,"abstract":"504 During the past 30 years, many attempts have been made to modify the Tenckhoff peritoneal catheter in order to improve its function and efficiency (1–3). The catheter is a serious issue in peritoneal dialysis because it creates a communication between the abdominal cavity and the outside world, thus exposing patients to potentially severe complications, some of which can be reduced using new connection systems (4–6). Nevertheless, these complications tend to limit the use of peritoneal dialysis, although it is more physiological than hemodialysis. It is therefore logical to try and improve the function and biocompatibility of peritoneal catheters (6). Peritoneal catheters often become dislocated, leading to malfunction and need for replacement since it is usually not possible to restore them to their correct position. In 1995, with the aim of preventing this complication, the Nephrology Department of the University Hospital of Siena designed a new catheter, similar to the Tenckhoff catheter in form but with a 12-g high specific weight tungsten cylinder incorporated in the abdominal extremity. We call this new catheter the “self-locating peritoneal catheter” (SLPC) (7,8). Our catheter maintains the original form and internal diameter of the Tenckhoff catheter for most of its length, but the external diameter increases in the last 2 cm, where we do not find the usual perforations. This new catheter has some important physical characteristics:","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"504-5"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retroperitoneal hematoma in a peritoneal dialysis patient on oral anticoagulant treatment.","authors":"S Caldes, M Rivera, J L Merino, Y Amezquita, J Blazquez, C Quereda","doi":"10.3747/pdi.2010.00061","DOIUrl":"https://doi.org/10.3747/pdi.2010.00061","url":null,"abstract":"operative day. Peritoneal dialysis was started 1 month after surgery owing to intolerance to the dialysate. After 15 months of follow-up, the catheter maintained patency without migration, catheter tract infection, or peritonitis. There was no abdominal wall hernia found during this period. The guidelines of the International Society for Peritoneal Dialysis (ISPD) recommend that any abdominal wall hernia should be repaired before PD is started (2). According to the study by García–Ureña et al., abdominal wall hernias develop in 17.2% of patients that receive PD, and 73% are found before PD. Inguinal hernias account for 26.9% of these patients (3). Laparoscopic PD catheter placement has been introduced widely owing to the benefits in reducing mechanical complications (4). It is worthwhile performing concomitant laparoscopic TEP hernioplasty and PD catheter placement, which not only benefits PD catheter fixation but also promises hernia repair, rapid patient recovery, and wound size reduction. In this case, the TEP approach made it more secure theoretically than the conventional open method in PD patients owing to the design of internal fixation. Although most PD patients have poor general performance and limited choices of surgical procedures that include PD catheter placement and hernioplasty, laparoscopic concomitant procedures can be an alternative choice for some suitable patients. In this case, concomitant hernioplasty and PD catheter placement was safe, effective, and worthwhile.","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"581-3"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2010.00061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should the \"trocar and cannula\" method be used for peritoneal catheter implantation?","authors":"Terence Yip, Wai-Kei Lo","doi":"10.3747/pdi.2010.00046","DOIUrl":"https://doi.org/10.3747/pdi.2010.00046","url":null,"abstract":"506 Peritoneal dialysis (PD) catheters are often described as the lifeline of end-stage renal failure patients receiving PD. There is no PD catheter that is definitely better than the conventional double-cuffed Tenckhoff catheter (1,2) and, in general, it is implantation technique rather than catheter design that determines the outcome of the catheter. To achieve good results, implantation must be performed by a competent, experienced, catheter insertion team. Initially, Tenckhoff catheters were implanted as a surgical procedure by surgeons using a mini-laparotomy technique. This is still the reference standard to which other implantation techniques should be compared. However, referral to surgeons may cause delay in initiating PD therapy, for both the waiting time to see a surgeon and the time required to arrange the operation afterward. The date of implantation is often not under the control of nephrologists and this may make timely implantation of a PD catheter an impossible dream. Some patients may be forced to remain on hemodialysis for months before PD catheters are implanted and they then may become reluctant to change modality to PD. Moreover, although it is a relatively minor surgery, the implantation operation requires dedication and attention to detail by the operator to yield good results. In many centers, such dedicated surgeons are not easily found, resulting in poor catheter outcomes. Therefore, nephrologists are often driven to take on catheter implantation themselves. The success of PD access procedures performed by nephrologists using various techniques has been well documented (3–7) and increases in PD utilization may result where catheter implantation by nephrologists is introduced (6,8). “Trocar and cannula” and Seldinger techniques are the usual catheter implantation methods employed by nephrologists. These procedures are relatively simple to perform, have a short learning period, and can be performed in a clean side-room. The trocar and cannula technique using the Tenckhoff trocar was the first method adopted by nephrologists for implantation of Tenckhoff catheters. With this technique, the trocar’s sharp pointed stylet is pushed through the linea alba into the lower abdomen. After entry into the peritoneal cavity, the stylet is removed and the Tenckhoff catheter is passed with a stiffening SHOULD THE “TROCAR AND CANNULA” METHOD BE USED FOR PERITONEAL CATHETER IMPLANTATION?","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"506-8"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2010.00046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peritonitis due to Candida rugosa: the first case report.","authors":"I Kocyigit, A Unal, M H Sipahioglu, B Tokgoz, O Oymak, C Utas","doi":"10.3747/pdi.2010.00045","DOIUrl":"https://doi.org/10.3747/pdi.2010.00045","url":null,"abstract":"Editor: A 31-year-old female patient who had been receiving continuous ambulatory per itoneal dialysis (CAPD) therapy for approximately 2 years because of end-stage renal disease of unknown cause presented with abdominal pain, nausea, vomiting, and cloudy dialysate for 3 days. She had no history of peritonitis. The exit site and tunnel of the CAPD catheter were found to be normal. White blood cell (WBC) count of the peritoneal fluid was 1200/mm 3 , with lymphocytes predominant. Gram stain of the peritoneal fluid did not show any microorganisms. After microbiological evaluation, she was empirically started on an antibiotic regimen consisting of cefazolin and amikacin intraperitoneally. Despite the empiric combined antibiotic treatment, the patient’s clinical status did not improve. Her peritoneal fluid WBC count continued to be 600 ‐ 800/mm 3 , with lymphocytes predominating. On the ninth day after her admission to the hospital, yeast growing in the peritoneal fluid culture was identified as Candida rugosa. For the strain of Candida rugosa isolated from the patient, the minimum inhibitory concentrations of amphotericin B, fluconazole, ketoconazole, and itraconazole were 0.5 μL/mL, 1.5 μL/mL, 0.032 μL/mL, and 2 μL/mL, respectively. The CAPD catheter was removed immediately and intravenous antifungal therapy with amphotericin B was started. She was switched to hemodialysis. Three weeks later, the patient’s clinical condition was entirely recovered. Intravenous amphotericin B was continued for 6 weeks and she was discharged without any problem. Candida non-albicans species have emerged over the past 15 years due to the widespread use of fluconazole and other well-tolerated antifungal agents and the increasing numbers of at-risk patients (1). Candida rugosa is a well-described cause of mastitis and other infections in dairy herds and it is an emerging fungal pathogen in humans, with frequency of isolation increasing from 0.03% to 0.4% between 1997 and 2003 in a large international repository of clinical isolates (2,3). Infections caused by Candida rugosa are frequently associated with burn wounds, surgical nystatin prophylaxis, catheters, and other intravenous devices, as in our patient (4‐7). In treating fungal CAPD-related peritonitis, immediate catheter removal is indicated because fungal peritonitis","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"576-7"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2010.00045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful use of CAPD in a patient with von Willebrand disease.","authors":"N Nouri-Majalan, N Taghavi, M Zare","doi":"10.3747/pdi.2009.00204","DOIUrl":"https://doi.org/10.3747/pdi.2009.00204","url":null,"abstract":"observational study. Arch Intern Med 1995; 155:2429–35. 2. Seker E. Identification of Candida species isolated from bovine mastitic milk and their in vitro hemolytic activity in Western Turkey. Mycopathologia 2010; 169:303–8. 3. Pfaller MA, Diekema DJ, Colombo AL, Kibbler C, Ng KP, Gibbs DL, et al. Candida rugosa, an emerging fungal pathogen with resistance to azoles: geographic and temporal trends from the ARTEMIS DISK antifungal surveillance program. J Clin Microbiol 2006; 44:3578–82. 4. Sugar AM, Stevens DA. Candida rugosa in immunocompromised cancer patients. Case reports, drug susceptibility and review of the literature. Cancer 1985; 56:318–20. 5. Reinhardt JF, Ruane PJ, Walker LJ, George WL. Intravenous catheter-associated fungemia due to Candida rugosa. J Clin Microbiol 1985; 22:1056–7. 6. Arisoy ES, Correa A, Seilheimer DK, Kaplan SL. Candida rugosa central venous catheter infection in a child. Pediatr Infect Dis J 1993; 12:961–3. 7. Dube MP, Heseltine PN, Rinaldi MG, Evans S, Zawacki B. Fungemia and colonization with nystatin-resistant Candida rugosa in a burn unit. Clin Infect Dis 1994; 18:77–82. 8. Piraino B, Bailie GR, Bernardini J, Boeschoten E, Gupta A, Holmes C, et al.; ISPD Ad Hoc Advisory Committee. Peritoneal dialysis-related infections recommendations: 2005 update. Perit Dial Int 2005; 25:107–31. 9. Hanzen J, Krcmery V. Polyfungal candidaemia due to Candida rugosa and Candida pelliculosa in a haemodialyzed neonate. Scand J Infect Dis 2002; 34:555. 10. Minces LR, Ho KS, Veldkamp PJ, Clancy CJ. Candida rugosa: a distinctive emerging cause of candidaemia. A case report and review of the literature. Scand J Infect Dis 2009; 41:892–7. doi:10.3747/pdi.2010.00045","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"577-8"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden increase in \"urine\" output in a peritoneal dialysis patient.","authors":"T Cornelis, J M Bargman","doi":"10.3747/pdi.2009.00259","DOIUrl":"https://doi.org/10.3747/pdi.2009.00259","url":null,"abstract":"laparotomy is mandatory. However, when the patient’s vital signs are stable, the usual measure of severity of bleeding is to check the hematocrit of the effluent. If the drop in hematocrit is up to 2%, conservative treatment is sufficient (6) but heparinization of the PD fluid is necessary to prevent clotting within the catheter. Inferior epigastric artery injury has been reported during percutaneous PD catheter insertion using a paramedian approach (7). The midline approach used in our patients avoids this possible complication. There have been no previously reported cases of jejunal mesenteric arterial laceration following the procedure. While this is rare, we wish to highlight the potential for injury to the intra-abdominal vasculature during the procedure. The omentum lies just over the bowel and the omental vessels are also potentially a source of bleeding. To minimize this, care must be taken to fill the peritoneal cavity with fluid so that the bowel floats freely and the likelihood of vascular injury is reduced. The cannula used to fill the peritoneal cavity must be gently maneuvered to go just below the level of the linea alba. Also, care must be taken that the trocar and cannula penetrate the linea alba but stop short of the viscera. When the catheter is introduced, the stiffening stylet must be maintained at a position just sufficient to permit the catheter to enter the peritoneal cavity. If there is any bloody discoloration of the effluent with hemodynamic compromise, along with volume resuscitation and blood transfusion, an immediate explorative laparotomy is mandatory. Blind percutaneous PD catheter introduction is becoming increasingly popular and can be done easily. While the procedure is usually safe, injury to intraabdominal vasculature is possible. If serious vascular injury is suspected, an immediate explorative laparotomy to identify and eliminate the source of bleeding must be undertaken.","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"574-6"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jejunal mesenteric artery laceration following blind peritoneal catheter insertion using the trocar method.","authors":"S Varughese, V Tamilarasi, C K Jacob, G T John","doi":"10.3747/pdi.2009.00070","DOIUrl":"https://doi.org/10.3747/pdi.2009.00070","url":null,"abstract":"Editor: Percutaneous peritoneal catheter insertion for peritoneal dialysis (PD) is widely used and success rates similar to those with open placement are reported. Percutaneous insertion is typically done using either a Seldinger technique or the Trocar method. We report a case where blind percutaneous catheter insertion using the Trocar method resulted in jejunal mesenteric arterial laceration and severe intra-abdominal bleeding. A 56-year-old man with diabetic nephropathy, chronic kidney disease stage 5, and ischemic heart disease presented with fluid overload. He was stabilized with ultrafiltration and hemodialysis over 2 weeks. A month later, he underwent blind percutaneous PD catheter insertion in which the trocar and cannula method was used. After a dose of preoperative intravenous vancomycin and sedation with intramuscular pentazocine, a midline incision 2.5 cm long was made about 2 cm below the umbilicus. The peritoneal cavity was filled with 1.5 L saline using an 18F intravenous cannula. The trocar and cannula were vertically maneuvered to make a point incision in the linea alba big enough to admit the lubricated permanent PD catheter, which was then secured in place by purse-string proline sutures. About 1 L PD fluid was instilled in the peritoneal cavity via the PD catheter. The drain was initially mildly blood tinged. The subcutaneous tunnel was made and the distal end of the catheter exteriorized. The incision wound was closed in layers. The effluent continued to be blood tinged and the patient’s blood pressure began to decrease. Despite two units of whole blood and fluids, the patient continued to be in hypovolemic shock. At laparotomy, the peritoneal cavity was filled with blood: a laceration of the jejunal mesenteric artery was identified and ligated. Further blood transfusions after surgery stabilized the patient. The catheter position and tunnel were left untouched. The laparotomy incision was made in the midline immediately below the incision made for catheter insertion. The patient subsequently underwent regular PD exchanges without any impediment to either inflow or drainage of PD fluid. This is the only such complication that has been experienced in over 30 percutaneous catheter insertions. Blind percutaneous PD catheter insertion is a relatively easy procedure that can be done by nephrologists without requiring a dedicated operation theater and anesthesia time. The procedure is safe when done by experienced personnel. There are two percutaneous techniques. The more common is the procedure using a peel-away sheath with the Seldinger technique (1). The other, using a trocar and cannula, is employed at our center. The laparoscopic and open surgical techniques require obtaining specialized surgical and anesthetic services, are more expensive, and increase the duration of hospital stay. The open surgical method is routinely preferred in those with prior abdominal surgeries with likelihood of adhesions. However, in the blind proc","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"573-4"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concomitant laparoscopic peritoneal dialysis catheter placement and total extraperitoneal hernioplasty: a case report.","authors":"J R Li, M J Wu, K Y Chiu, C R Yang, C J Chen, C L Cheng","doi":"10.3747/pdi.2010.00051","DOIUrl":"https://doi.org/10.3747/pdi.2010.00051","url":null,"abstract":"1. Augustine T, Brown PW, Davies SD, Summers AM, Wilkie ME. Encapsulating peritoneal sclerosis: clinical significance and implications. Nephron Clin Pract 2009; 111: c149–54. 2. Kawaguchi Y, Kawanishi H, Mujais S, Topley N, Oreopoulos DG. Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis. Perit Dial Int 2000; 20(Suppl 4):S43–55. 3. Fieren MW, Betjes MG, Korte MR, Boer WH. Posttransplant encapsulating peritoneal sclerosis: a worrying new trend? Perit Dial Int 2007; 27:619–24. 4. Brown EA, Van Biesen W, Finkelstein FO, Hurst H, Johnson DW, Kawanishi H, et al.; the ISPD Working Party. Length of time on peritoneal dialysis and encapsulating peritoneal sclerosis: position paper for ISPD. Perit Dial Int 2009; 29:595–600. 5. Kawanishi H, Moriishi M, Ide K, Dohi K. Recommendation of the surgical option for treatment of encapsulating peritoneal sclerosis. Perit Dial Int 2008; 28(Suppl 3):S205–10. doi:10.3747/pdi.2010.00047","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"580-1"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2010.00051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated lesser sac infection: an uncommon cause of abdominal pain in CAPD patients.","authors":"Yun Li,&nbsp;Lin-Yun Lai,&nbsp;Chuan-Ming Hao,&nbsp;Jing Tian,&nbsp;Tong-Ying Zhu","doi":"10.3747/pdi.2009.00093","DOIUrl":"https://doi.org/10.3747/pdi.2009.00093","url":null,"abstract":"<p><p>Peritonitis in peritoneal dialysis (PD) patients is characterized by abdominal pain and dialysate leukocytosis. Abdominal abscesses have been reported in PD patients with relapsing peritonitis. We report here 3 cases of lesser sac infection in PD patients who had severe abdominal pain but not generalized or diffuse peritonitis.</p>","PeriodicalId":519220,"journal":{"name":"Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis","volume":" ","pages":"493-5"},"PeriodicalIF":2.8,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3747/pdi.2009.00093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40058439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}