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. 2016 Mar 3;3(3):000378.
doi: 10.12890/2016_000378. eCollection 2016.

Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter

Anna Silda  1 , Viktorija Kuzema  1 , Ilze Puide  1 , Harijs Čerņevskis  1 , Aivars Pētersons  1
Affiliations

Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter

Anna Silda et al. Eur J Case Rep Intern Med. .

Abstract

A patient undergoing peritoneal dialysis was admitted with acute peritoneal dialysis-related peritonitis. On the 10th day of intraperitoneal antibacterial therapy, the patient's dialysate developed a green color. Gallbladder perforation was revealed. The patient underwent a conventional cholecystectomy with a preserved peritoneal catheter. There are few cases in the medical literature about green dialysate. In all of them, peritoneal dialysis catheters were removed after cholecystectomy. The present case report shows a patient with an intact peritoneal catheter and with no further complications.

Learning points: Bilirubin measurement in a dialysate helps to differentiate gallbladder perforation from other causes of peritonitis.Urgent diagnostics and treatment is required in patients with changes in dialysate colour.Preservation of perithoneal catheter can be considered after a laparotomy.

Keywords: Cholecystitis; gallbladder perforation; green dialysate; peritoneal catheter; peritoneal dialysis.

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Conflict of interest statement

Conflicts of Interests: The authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
Green dialysate.
See this image and copyright information in PMC

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