Clear peritoneal effluent in a child on CCPD with a phlegmonous appendicitis.
Peritonitis as a result of a perorated appendicitis is a rare but life-threatening situation in a patient on peritoneal dialysis (PD). As far as we are aware, the combination of clear dialysate effluent and phlegmonous appendicitis in a patient on PD has not previously been described. We report a 16-year-old girl with acute onset of abdominal pain and vomiting who turned out to have phlegmonous appendicitis, despite having a clear dialysate effluent with normal cell count, and who subsequently developed E coli peritonitis after surgery.
Horuz
F
F
Department of Pediatric Nephrology, Emma Children's Hospital AMC, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 Amsterdam, The Netherlands.
Sleeboom
C
C
Bouts
A H
AH
Davin
J C
JC
Groothoff
J W
JW
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D001062:Appendectomy / Q000009:adverse effects; D001064:Appendicitis / Q000150:complications* / Q000601:surgery; D015314:Dialysis Solutions / Q000737:chemistry*; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D010530:Peritoneal Dialysis / Q000379:methods*; D010537:Peritoneum / Q000378:metabolism*; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology; D014839:Vomiting / Q000209:etiology
D015314:Dialysis Solutions