Hemoperitoneum Related with Peritoneal Dialysis in A Female Adolescent: it is Not as Frightening as it Seems
Abstract
Although hemoperitoneum is a benign and common complication of chronic peritoneal dialysis the apperance of the effluent will be devastating for the patients. In women of reproductive age group gynecological causes are the common etiological factors.
A 17 years old girl who had been on automated peritoneal dialysis for six months was admitted because of bloody effluent lasting for two days. At admission she described mild abdominal pain; physical examination was unremarkable and bleeding time and coagulation profile was normal. Abdominal ultrasound revealed hemorrhagic cysts on left ovary. Peritoneal effluent was cleared by using rapid exchanges with room temperature dialysate.
Hemoperitoneum is a well recognized complication of peritoneal dialysis in women of reproductive age.Abdominal ultrasound is the first, easily applicable and reliable diagnostic modality in order to detect underlying causes of hemoperitoneum. Performing rapid exchanges with cold-room temperature dialysate is the mainstay of treatment.
References
- Wu ZZ, Yu CH, Sung JM. Haemoperitoneum in peritoneal dialysis and polycystic kidney disease: An interesting cause. Perit Dial Int 2023;43:342-4.
- Bakkaloğlu SA, Sethna CB. Noninfectious Complications of Peritoneal Dialysis in Children. In: Warady BA, Alexander SR, Schaefer F. (eds) Pediatric Dialysis. Springer, Cham 2021;291-313.
- Kohn OF, Culbertson S, Becker YT. Hemoperitoneum in a Peritoneal Dialysis Patient: Ruptured Ectopic Pregnancy. Perit Dial Int 2018;38:455-6.
- Tse KC, Yip PS, Lam MF, Li FK, Choy BY, Chan TM, et al. Recurrent hemoperitoneum complicating continuous ambulatory peritoneal dialysis. Perit Dial Int 2002;22:488-91.
- Greenberg A, Bernardini J, Piraino BM, Johnston JR, Perlmutter JA. Hemoperitoneum complicating chronic peritoneal dialysis: single-center experience and literature review. Am J Kidney Dis 1992;19:252-6.
- Aksoy GK, Ekim M, Bakkaloğlu SA, Coşkun S, Delibaş A, Conkar S, et al. Evaluation of non-infectious complications of peritoneal dialysis in children: a multicenter study. Pediatr Nephrol 2021; 36:417-23.
- Sussman SQ, Arenas CL, Celis FA. Hemoperitoneum in peritoneal dialysis, a red flag? Case report. Rev Colomb Nefrol 2015;2:70-5.
- Parthasarathy R, Selvanathan DK, Veenaa MS. Peritoneal Dialysis Teaching Series 2: The Bloody Problem. Indian J Kidney Dis 2022: 1: 38-40.
- Kennedy C, Bargman JM. Noninfectious Complications of Peritoneal Dialysis. in: Khanna, R, Krediet RT. (eds) Nolph and Gokal’s Textbook of Peritoneal Dialysis. Springer, Cham 2023 https://doi.org/10.1007/978-3-030-62087-5_20
Abstract
Hemoperitoneum kronik periton diyalizinin selim ve sık görülen bir komplikasyonu olmasına rağmen periton drenaj sıvısının görünümü aileler için çoğunlukla korkutucu olmaktadır. Jinekolojik sebepler reprodüktif çağdaki kadınlarda etiyolojik faktörlerin en sık sebebi olarak karşımıza çıkmaktadır.
Altı aydır aletli periton diyaliz tedavisi almakta olan 17 yaşındaki kız hasta iki gündür devam eden kanlı periton diyaliz sıvısı olması nedeni ile başvurdu. Hastanın hafif karın ağrısı dışında eşlik eden şikayeti yoktu, fizik muayenede özellik saptanmadı, kanama zamanı ve koagülasyon testleri normal sınırlardaydı. Abdominal ultrason incelemede sol overde hemorajik kist saptandı. Oda ısısında diyalizat solusyonu ile hızlı değişimler uygulandı. Bu tedavi ile hastanın diyalizat sıvısının kısa sürede normale döndüğü saptandı.
Hemoperitoneum periton diyaliz tedavisi alan reprodüktif çağdaki kadınlarda sık rastlanılan bir komplikasyonudur. Hemoperitoneumun altta yatan nedenini saptayabilmek açısından abdominal ultrason ilk yapılması gereken, kolayca uygulanabilen ve güvenilir bir görüntüleme modalitesidir. Soğuk-oda ısısında diyalizat ile hızlı değişimler uygulanması tedavinin temelini oluşturmaktadır.
Keywords
References
- Wu ZZ, Yu CH, Sung JM. Haemoperitoneum in peritoneal dialysis and polycystic kidney disease: An interesting cause. Perit Dial Int 2023;43:342-4.
- Bakkaloğlu SA, Sethna CB. Noninfectious Complications of Peritoneal Dialysis in Children. In: Warady BA, Alexander SR, Schaefer F. (eds) Pediatric Dialysis. Springer, Cham 2021;291-313.
- Kohn OF, Culbertson S, Becker YT. Hemoperitoneum in a Peritoneal Dialysis Patient: Ruptured Ectopic Pregnancy. Perit Dial Int 2018;38:455-6.
- Tse KC, Yip PS, Lam MF, Li FK, Choy BY, Chan TM, et al. Recurrent hemoperitoneum complicating continuous ambulatory peritoneal dialysis. Perit Dial Int 2002;22:488-91.
- Greenberg A, Bernardini J, Piraino BM, Johnston JR, Perlmutter JA. Hemoperitoneum complicating chronic peritoneal dialysis: single-center experience and literature review. Am J Kidney Dis 1992;19:252-6.
- Aksoy GK, Ekim M, Bakkaloğlu SA, Coşkun S, Delibaş A, Conkar S, et al. Evaluation of non-infectious complications of peritoneal dialysis in children: a multicenter study. Pediatr Nephrol 2021; 36:417-23.
- Sussman SQ, Arenas CL, Celis FA. Hemoperitoneum in peritoneal dialysis, a red flag? Case report. Rev Colomb Nefrol 2015;2:70-5.
- Parthasarathy R, Selvanathan DK, Veenaa MS. Peritoneal Dialysis Teaching Series 2: The Bloody Problem. Indian J Kidney Dis 2022: 1: 38-40.
- Kennedy C, Bargman JM. Noninfectious Complications of Peritoneal Dialysis. in: Khanna, R, Krediet RT. (eds) Nolph and Gokal’s Textbook of Peritoneal Dialysis. Springer, Cham 2023 https://doi.org/10.1007/978-3-030-62087-5_20
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | CASE REPORTS |
| Authors | |
| Early Pub Date | January 25, 2024 |
| Publication Date | March 18, 2024 |
| Submission Date | November 11, 2023 |
| Acceptance Date | December 18, 2023 |
| Published in Issue | Year 2024 |