Recurrent abdominal pain caused by a toothpick in a CAPD patient.
A 27-year-old patient on CAPD presented with febrile illness and abdominal pain suggestive of peritonitis. Dialysis fluid culture yielded Enterococcus. Response to treatment was slow, with pain persisting. Laparotomy revealed a toothpick, which was causing peritoneal irritation. It was unclear how the foreign object entered the peritoneum.
Department of Clinical Nephrology, University of Innsbruck, Austria.
P S
PS
König
F
F
Kronenberg
M
M
Joannidis
P
P
Dietl
K
K
Lhotta
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010529:Peritoneal Cavity; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology; D012008:Recurrence