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Case Reports
. 2021 Apr 20;22(1):139.
doi: 10.1186/s12882-021-02343-9.

Delayed bowel perforation after instilling over warmed peritoneal dialysate

Xueli Lai  1 , Mingming Nie  2 , Xiaodong Xu  3 , Yuanjie Chen  4 , Zhiyong Guo  5
Affiliations
Case Reports

Delayed bowel perforation after instilling over warmed peritoneal dialysate

Xueli Lai et al. BMC Nephrol. .

Abstract

Background: Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare.

Case presentation: We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines.

Conclusions: Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients.

Keywords: Case report; Perforation; Peritoneal dialysis; Thermal damage.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Gross view of the necrotic small bowel: 33 cm of which the largest perforation hole was in the middle
Fig. 2
Fig. 2
Histologic findings of the small bowel showing hemorrhagic necrosis and neutrophil infiltration of the full-thickness bowel around the largest hole. [hematoxylin and eosin (H&E) stain; original magnification× 100]
See this image and copyright information in PMC

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