A case report of a diabetic nephropathy patient with cirrhotic ascites treated by peritoneal dialysis.
A 64-year-old man was admitted because of abdominal fullness, edema and anorexia. He had come to our hospital for treatment of liver cirrhosis and diabetic nephropathy for 1 year. We started diuretics and human albumin intravenous administration. Although the edema disappeared and abdominal fullness improved a little, blood urea nitrogen (BUN) and serum creatinine became elevated, hepatic function deteriorated and he lost his appetite. We consequently started continuous ambulatory peritoneal dialysis (CAPD) in order to control ascites and uremia. Abdominal fullness, appetite and BUN and serum creatinine improved without hepatic function deterioration. It might be important to start CAPD to control ascites although serum creatinine levels might be slightly elevated.
Nagai
Takashi
T
Department of Internal Medicine, Public Tomioka General Hospital, Tomioka, Japan. takashi-nagai@icom.home.ne.jp
Imamura
Makoto
M
Kobayashi
Daishiro
D
Mori
Masatomo
M
D000597:Amino Acids, Branched-Chain / Q000097:blood; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D001201:Ascites / Q000628:therapy; D001806:Blood Urea Nitrogen; D017315:Cilazapril / Q000627:therapeutic use; D003404:Creatinine / Q000097:blood; D003928:Diabetic Nephropathies / Q000097:blood / Q000150:complications / Q000628:therapy*; D004487:Edema / Q000628:therapy; D006801:Humans; D008103:Liver Cirrhosis / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory
D000597:Amino Acids, Branched-Chain; D000806:Angiotensin-Converting Enzyme Inhibitors; D017315:Cilazapril; D003404:Creatinine