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Related Experiment Videos

Recurring enteric peritonitis associated with non-perforating colon carcinoma.

J A Stevenson1, J L Jurado, D D Belli

  • 1Brownwood Renal Care Center, 11 8A South Park Drive, Brownwood, TX 76801, USA. jstevenson@wtkidney.com

Clinical Nephrology
|June 24, 2006
PubMed
Summary

Recurring enteric peritonitis in peritoneal dialysis patients can stem from non-perforating colon polyps. Aggressive investigation for underlying colon pathology is crucial in such cases.

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Area of Science:

  • Nephrology
  • Gastroenterology
  • Pathology

Background:

  • Peritoneal dialysis (PD) patients are susceptible to enteric peritonitis, often linked to bowel perforation or transmural bacterial migration.
  • While common causes are known, peritonitis associated with non-perforating colonic polyps is not previously documented.

Observation:

  • A 31-year-old female on PD experienced recurrent enteric peritonitis without other known risk factors.
  • A 15 mm carcinomatous colon polyp, occult on CT scan, was identified and removed via colonoscopy.
  • The patient underwent colectomy; the colon showed no perforation, indicating the polyp was the likely source.

Findings:

  • This case highlights a novel association between a non-perforating carcinomatous colon polyp and enteric peritonitis in a PD patient.

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  • The polyp, despite its size, was not detected by CT scan, underscoring limitations in imaging for subtle colonic pathology.

    • Implications:

    • Non-perforating colonic polyps should be considered in the differential diagnosis of recurrent or atypical enteric peritonitis in PD patients.
    • Emphasizes the need for thorough gastrointestinal evaluation to identify occult colonic lesions in PD-associated peritonitis.
    • Early detection and management of colonic pathology can prevent recurrent PD-related infections and complications.