Symptomatic peritoneal calcification in a child: treatment with tidal peritoneal dialysis.
OBJECTIVE
To evaluate the ability of tidal peritoneal dialysis to decrease the pain and frequency of hemoperitoneum associated with peritoneal calcification.


METHODS
Prospective case evaluation.


METHODS
The Home Peritoneal Dialysis Unit, Children's Mercy Hospital.


METHODS
Seven-year old male with diffuse peritoneal calcifications, daily abdominal pain, and recurrent hemoperitoneum.


METHODS
Tidal peritoneal dialysis was conducted with an initial fill volume of 45 mL/kg and a tidal inflow volume of 23 mL/kg. The patient also maintained a daytime pass volume of 45 mL/kg. Duration of treatment was 7 months.


RESULTS
The patient's abdominal pain resolved 2 days after initiating tidal peritoneal dialysis. No episodes of hemoperitoneum or abdominal pain have occurred for 7 months.


CONCLUSIONS
Tidal peritoneal dialysis is a unique approach to the achievement of symptomatic relief in the patient with peritoneal calcification.
Warady
B A
BA
Section of Pediatric Nephrology, Children's Mercy Hospital, Kansas City, Missouri, 64108.
Bohl
V
V
Alon
U
U
Hellerstein
S
S
D015746:Abdominal Pain / Q000628:therapy*; D002114:Calcinosis / Q000473:pathology / Q000628:therapy*; D002648:Child; D015314:Dialysis Solutions / Q000008:administration & dosage; D006465:Hemoperitoneum / Q000628:therapy*; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000379:methods*; D010532:Peritoneal Diseases / Q000473:pathology / Q000628:therapy*; D010537:Peritoneum / Q000473:pathology; D011446:Prospective Studies; D012008:Recurrence; D014462:Ultrafiltration
D015314:Dialysis Solutions