![](/images/graphics-bg.png)
Peritoneal Dialysis with Marked Pneumoperitoneum
Joint Authors
Shimada, Michiko
Narita, Ikuyo
Murakami, Reiichi
Fujita, Takeshi
Tomita, Hirofumi
Nakamura, Norio
Nakata, Masamichi
Nagawa, Daiki
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Pneumoperitoneum, the presence of free air within the peritoneal cavity, is often caused by the perforation of gas-containing viscus and commonly requires surgical treatment.
However, in patients with peritoneal dialysis, free air is commonly seen on X-ray.
We present the case of a patient with peritoneal dialysis with marked pneumoperitoneum.
A 75-year-old Japanese male with end-stage renal disease due to antineutrophil cytoplasmic antigen-associated vasculitis had been receiving continuous ambulatory peritoneal dialysis for 9 years.
He had a poor appetite and general malaise without abdominal pain or fever.
These symptoms gradually worsened, and he was hospitalized.
At the time of admission, chest X-ray revealed bilateral free air in the abdomen.
Subsequent computed tomography of the abdomen revealed marked pneumoperitoneum.
Peritonitis due to perforation of the digestive tract was considered; however, the absence of abdominal pain, fever, and turbidity of dialysis drainage indicated that peritonitis was unlikely.
Insufficient air venting during continuous ambulatory peritoneal dialysis bag replacement was suspected.
The bag was carefully changed, resulting in a gradual decrease in the free air.
We encountered a patient with continuous ambulatory peritoneal dialysis who had significant free air in the abdominal cavity in the absence of peritonitis.
The source of the air was determined to be the dialysis bag due to insufficient venting during replacement.
This case underscores the importance of instructing patients with continuous ambulatory peritoneal dialysis on the thorough removal of air from the bag during replacement.
American Psychological Association (APA)
Nakamura, Norio& Nakata, Masamichi& Nagawa, Daiki& Narita, Ikuyo& Fujita, Takeshi& Murakami, Reiichi…[et al.]. 2020. Peritoneal Dialysis with Marked Pneumoperitoneum. Case Reports in Nephrology،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1148736
Modern Language Association (MLA)
Nakamura, Norio…[et al.]. Peritoneal Dialysis with Marked Pneumoperitoneum. Case Reports in Nephrology No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1148736
American Medical Association (AMA)
Nakamura, Norio& Nakata, Masamichi& Nagawa, Daiki& Narita, Ikuyo& Fujita, Takeshi& Murakami, Reiichi…[et al.]. Peritoneal Dialysis with Marked Pneumoperitoneum. Case Reports in Nephrology. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1148736
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148736