Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Mar 26:11:1179547618765761.
doi: 10.1177/1179547618765761. eCollection 2018.

Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach

Roberta Aliotta  1 , Luca Zanoli  1 , Itria Lauretta  1 , Rosa Giunta  1 , Silvia Ferrario  1 , Stefania Rastelli  1 , Sebastiano Rapisarda  1 , Elnaz Rahbari  1 , Francesco Rapisarda  1
Affiliations
Case Reports

Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach

Roberta Aliotta et al. Clin Med Insights Case Rep. .

Abstract

Until 2018, 236 cases of acute pancreatitis have been reported in patients who underwent peritoneal dialysis. Here, we presented a patient with double renal transplantation with chronic renal failure, under renal replacement therapy by peritoneal dialysis, who developed acute pancreatitis with abdominal pain, nausea, vomiting, leukocytosis with neutrophil left shift which is complicated by pancreatic pseudocyst, candida peritonitis, fungal sepsis, overlapping of Acinetobacter baumannii sepsis, and pneumonitis. After the percutaneous cystogastrostomy drainage of pancreatic pseudocyst, changes from peritoneal dialysis to hemodialysis, various thoracentesis, and polyantibiotics therapy, the resolution of the sepsis state was seen. The particular aspect of our case is the various comorbidity risks, severe pancreatitis associated with candida and A baumannii sepsis, and treatment strategy that lead to heal this kind of the high mortality rate condition.

Keywords: Pancreatitis; pancreatic pseudocyst; peritonitis; sepsis.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Panel A: pancreatic pseudocyst in abdominal computed tomographic scan. Panel B: abdominal magnetic resonance imaging, percutaneous cystogastrostomy drainage.
See this image and copyright information in PMC

References

    1. Flynn CT, Chandran PKG, Shadur CA. Recurrent pancreatitis in a patient on CAPD. Perit Dial Bull. 1986;6:106.
    1. Rambausek M, Ziegler T, Ritz E. Incipient pancreatitis causing cloudy effluent in a patient on CAPD. Perit Dial Bull. 1986;6:160.
    1. Emder PJ, Howard NJ, Rosenberg AR. Non-ketotic hyperosmolar diabetic pre-coma due to pancreatitis in a boy on continuous ambulatory peritoneal dialysis. Nephron. 1986;44:355–357. - PubMed
    1. De Boer B, Agar JWM. The role of hyperlipidemia in the etiology of pancreatitis in CAPD. Perit Dial Int. 1987;7:264.
    1. Singh S, Wadhwa N. Peritonitis, pancreatitis, and infected pseudocyst in a continuous ambulatory peritoneal dialysis patient. Am J Kidney Dis. 1987;9:84–86. - PubMed

Publication types

LinkOut - more resources