Delayed bowel perforation after instilling over warmed peritoneal dialysate

BACKGROUND: Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare. CASE PRESENTATION: We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he...

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Autores principales: Lai, Xueli, Nie, Mingming, Xu, Xiaodong, Chen, Yuanjie, Guo, Zhiyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056609/
https://www.ncbi.nlm.nih.gov/pubmed/33879076
http://dx.doi.org/10.1186/s12882-021-02343-9
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author Lai, Xueli
Nie, Mingming
Xu, Xiaodong
Chen, Yuanjie
Guo, Zhiyong
author_facet Lai, Xueli
Nie, Mingming
Xu, Xiaodong
Chen, Yuanjie
Guo, Zhiyong
author_sort Lai, Xueli
collection PubMed
description BACKGROUND: Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare. CASE PRESENTATION: We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines. CONCLUSIONS: Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients.
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spelling pubmed-80566092021-04-20 Delayed bowel perforation after instilling over warmed peritoneal dialysate Lai, Xueli Nie, Mingming Xu, Xiaodong Chen, Yuanjie Guo, Zhiyong BMC Nephrol Case Report BACKGROUND: Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare. CASE PRESENTATION: We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines. CONCLUSIONS: Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients. BioMed Central 2021-04-20 /pmc/articles/PMC8056609/ /pubmed/33879076 http://dx.doi.org/10.1186/s12882-021-02343-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Lai, Xueli
Nie, Mingming
Xu, Xiaodong
Chen, Yuanjie
Guo, Zhiyong
Delayed bowel perforation after instilling over warmed peritoneal dialysate
title Delayed bowel perforation after instilling over warmed peritoneal dialysate
title_full Delayed bowel perforation after instilling over warmed peritoneal dialysate
title_fullStr Delayed bowel perforation after instilling over warmed peritoneal dialysate
title_full_unstemmed Delayed bowel perforation after instilling over warmed peritoneal dialysate
title_short Delayed bowel perforation after instilling over warmed peritoneal dialysate
title_sort delayed bowel perforation after instilling over warmed peritoneal dialysate
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056609/
https://www.ncbi.nlm.nih.gov/pubmed/33879076
http://dx.doi.org/10.1186/s12882-021-02343-9
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