Vegetable crudités and peritoneal dialysis-associated peritonitis: An unusual case of foreign body PD peritonitis

Area of Science:

• Nephrology
• Gastroenterology
• Infectious Diseases

Background:

• Peritoneal dialysis (PD)-associated peritonitis is a frequent PD complication.
• Polymicrobial PD peritonitis, with multiple organisms, indicates poorer outcomes and suggests underlying pathology like gastrointestinal issues or foreign bodies.

Purpose of the Study:

• To report a unique case of polymicrobial PD peritonitis caused by a vegetable foreign body perforating the colon.
• To illustrate successful conservative management and long-term PD catheter preservation.

Main Methods:

• A case report detailing a patient with polymicrobial PD peritonitis.
• Management involved antibiotic therapy and colonoscopic foreign body removal.
• The patient's PD catheter was preserved.

Main Results:

• The patient presented with polymicrobial PD peritonitis secondary to a colonic perforation by vegetable matter.
• Conservative treatment, including antibiotics and endoscopic foreign body removal, was successful.
• The patient avoided PD catheter removal and continued PD therapy long-term.

Conclusions:

• Peritoneal dialysis catheter preservation is achievable even in complex polymicrobial PD peritonitis cases.
• Endoscopic removal of foreign bodies causing colonic perforation can be a viable treatment strategy.
• Conservative management can lead to favorable long-term outcomes for PD patients with peritonitis.