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Peritonitis secondary to obstructive pyonephrosis in a peritoneal dialysis patient: report of a case and review of the literature

  • WU Xiao-Feng ,
  • GUO Qun-Ying ,
  • LI Jian-Ying ,
  • LI Jian-Bo ,
  • LIN Jian-Xiong ,
  • LIU Yuan-Ying
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  • Department of Nephrology, the First Affiliated Hospital, Sun Yat-sen University, 2NHC Key Laboratory of Clinical Nephrology (Sun Yat-sen University) and Guangdong Provincial Key Laboratory of Nephrology, Guangzhou 510080, China

Received date: 2023-09-28

  Revised date: 2023-11-13

  Online published: 2024-01-12

Abstract

Peritoneal dialysis (PD)-associated peritonitis is usually caused by contamination of the PD system or infection of exit site. Peritonitis may sometimes be present with gastrointestinal diseases, such as intestinal perforation, ischemic bowel disease or cholecystitis. PD-associated peritonitis due to obstructive pyonephrosis is rarely seen. Here we report the first case of PD-associated peritonitis due to obstructive pyonephrosis in a 72-year-old PD patient in China. He was then subjected to a left-sided percutaneous nephrostomy and nephrectomy without removal of the peritoneal dialysis catheter. No peritonitis relapsed in the next 8 months after the operation. From this case we can draw the experience that PD-associated peritonitis may derive from a focal infection, which is of diagnostic and therapeutic importance.

Cite this article

WU Xiao-Feng , GUO Qun-Ying , LI Jian-Ying , LI Jian-Bo , LIN Jian-Xiong , LIU Yuan-Ying . Peritonitis secondary to obstructive pyonephrosis in a peritoneal dialysis patient: report of a case and review of the literature[J]. Chinese Journal of Blood Purification, 2024 , 23(01) : 75 -77 . DOI: 10.3969/j.issn.1671-4091.2024.01.017

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