[Acute hyperkalemia disclosing an intraperitoneal rupture of an amebic liver abscess. Value of preoperative peritoneal dialysis].
In a patient with shock and hyperkalemia , a peritoneal dialysis, started to treat an hyperkalemia , showed the presence of chocolate-like pus in the peritoneal cavity, and confirmed the intraperitoneal rupture of an amoebic liver abscess . Peritoneal dialysis led to the correction of the metabolic disorders and of the shock and restored the diuresis, ensuring favourable conditions to surgical intervention. Surgical drainage of the abscesses and ornidazole treatment led to complete recovery.
D000328:Adult; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology* / Q000628:therapy; D008101:Liver Abscess, Amebic / Q000150:complications* / Q000601:surgery; D008297:Male; D010529:Peritoneal Cavity; D010530:Peritoneal Dialysis; D011300:Preoperative Care; D012422:Rupture, Spontaneous
Hyperkaliémie aigue révélatrice d'une rupture intrapéritoneale d'abcès amibien du foie. Intérêt de la dialyse péritonéale pré-opératoire.