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Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter
Anna Silda1, Viktorija Kuzema1, Ilze Puide1
1Nephrology Department, Pauls Stradins Clinical University Hospital, Riga, Latvia.
A patient undergoing peritoneal dialysis was admitted with acute peritoneal dialysis-related peritonitis. On the 10th day of intraperitoneal antibacterial therapy, the patient's dialysate developed a green color. Gallbladder perforation was revealed. The patient underwent a conventional cholecystectomy with a preserved peritoneal catheter. There are few cases in the medical literature about green dialysate. In all of them, peritoneal dialysis catheters were removed after cholecystectomy. The present case report shows a patient with an intact peritoneal catheter and with no further complications.
A patient undergoing peritoneal dialysis was admitted with acute peritoneal dialysis-related peritonitis. On the 10th day of intraperitoneal antibacterial therapy, the patient's dialysate developed a green color. Gallbladder perforation was revealed. The patient underwent a conventional cholecystectomy with a preserved peritoneal catheter. There are few cases in the medical literature about green dialysate. In all of them, peritoneal dialysis catheters were removed after cholecystectomy. The present case report shows a patient with an intact peritoneal catheter and with no further complications.
Learning Points:
Bilirubin measurement in a dialysate helps to differentiate gallbladder perforation from other causes of peritonitis.Urgent diagnostics and treatment is required in patients with changes in dialysate colour.Preservation of perithoneal catheter can be considered after a laparotomy.
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