Chylous Peritonitis: An Infrequent Complication of Peritoneal Dialysis

Author:

Roodhooft Anne Marie1,Van Acker Karel J.1,De Broe Marc E.1

Affiliation:

1. From the Department or Pediatrics and Nephrology -Hypertension, University or Antwerp, University Hospital Antwerp, Wilrijk straat 10, B. 2520 Edegem (Antwerp >, Belgium.

Abstract

A 13-year-old girl, who had been on chronic peritoneal dialysis for 31/2 years, developed chylous peritonitis after a minor abdominal trauma. Conservative treatment with a lowfat, high-caloric diet supplemented with medium-chain triglycerides, was without success. When peritoneal dialysis was replaced by hemodialysis, the chylous peritonitis gradually resolved as judged from the echographic findings. When chylous peritonitis occurs in the course of chronic peritoneal dialysis and persists after a trial with a dietary regimen, peritoneal dialysis should be temporarily replaced by hemodialysis. A conservative dietary treatment combined with parenteral hyperalimentation may be given at the same time. It is not yet clear whether surgical intervention can thus be avoided in all cases.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

Cited by 6 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Aliskiren-Induced Chyloperitoneum in a Patient on Peritoneal Dialysis;Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis;2012-01

2. Recurrent chyloperitoneum—a rare complication of peritoneal dialysis;Pediatric Nephrology;2008-04

3. Chylous ascites: A collective review;Surgery;2000-11

4. Chylous ascites complicating neonatal peritoneal dialysis;Pediatric Nephrology;1995-12

5. Acute Abdominal Events and Their Impact on Morbidity and Mortality in a CAPD Program;The International Journal of Artificial Organs;1989-03

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