Korean J Nephrol.
2004 Jul;23(4):666-670.
A Case of Recurrent Peritonitis Associated with Colon Cancer in a Continuous Ambulatory Peritoneal Dialysis Patient
- Affiliations
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- 1Kidney Disease Research Group
- 2Department of Internal Medicine, College of Medicine, Inha University, Inchon, Korea. nhkimj@inha.ac.kr
Abstract
- Recurrent peritonitis is the major complication of continuous ambulatory peritoneal dialysis (CAPD) and a common reason for discontinuation of this form of therapy. Polymicrobial peritonitis by gram- negative organisms suggests intraabdominal pathology not directly associated with CAPD, necessitating early removal of catheter and/or abdominal exploration. The source of infection may still be gastrointestinal, especially in light of the polymicrobial gram-negative peritonitis and rarely be gastrointestinal malignancy. We recently experienced a case of 64-year-old woman with recurrent CAPD peritonitis by polymicrobial gram-negative organisms, originated from colon cancer. Colon cancer was confirmed by barium enema, abdominal CT and colonoscopic biopsy. She underwent right hemicolectomy and removal of catheter simultaneously. The biopsy revealed a moderately to poorly differentiated adenocarcinoma with abundant mucin production.
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