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Updated: Aug 10, 2026

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 18, 2010
Clear peritoneal effluent in a child on CCPD with a phlegmonous appendicitis
F Horuz1, C Sleeboom, A H Bouts
1Department of Pediatric Nephrology, Emma Children's Hospital AMC, Academic Medical Center, University of Amsterdam, P.O. Box 22700, 1100 Amsterdam, The Netherlands.
Abstract:
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.
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