[Peritoneal dialysis in hemolytic-uremic syndrome following ileocecal resection for invagination in postoperative peritonitis].
A 3-year-old girl is reported on who underwent laparotomy for ileocaecal intussusception elsewhere one week following severe gastroenteritis. Immediately after surgery, she developed haemolytic-uraemic syndrome with haemolytic anaemia, thrombocytopenia, increase of urea and creatinine and anuria as well as subsequent peritonitis, enterocolitis and sepsis. Following relaparotomy with establishment of ileostomy, peritoneal dialysis for several days was carried out for treatment of the haemolytic-uraemic syndrome. This case demonstrates that the haemolytic-uraemic syndrome can be treated effectively by peritoneal dialysis despite fresh bowel anastomoses, and that simultaneously occurring peritonitis can be managed by intraperitoneal administration of antibiotics via dialysis fluid.
Deindl
C
C
Kinderchirurgische Klinik Dr. von Haunerschen Kinderspital der Universität München.
Eife
R
R
Dietz
H G
HG
D058186:Acute Kidney Injury / Q000628:therapy; D000900:Anti-Bacterial Agents; D002675:Child, Preschool; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000628:therapy*; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007080:Ileocecal Valve / Q000601:surgery*; D007443:Intussusception / Q000601:surgery*; D010530:Peritoneal Dialysis; D010538:Peritonitis / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*; D013530:Surgical Wound Infection / Q000628:therapy
D000900:Anti-Bacterial Agents
Peritonealdialyse bei hämolytisch-urämischem Syndrom nach Ileozökalresektion wegen Invagination bei postoperativer Peritonitis.