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KMID : 0359920100290010178
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Korean Journal of Nephrology
2010 Volume.29 No. 1 p.178 ~ p.182
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A Case of Perforated Acute Cholecystitis in CAPD Patient who Returned to CAPD after Laparoscopic Cholecystectomy
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Min Jin-Soo
Chang Se-Na
Kim Hyung-Wook
Shin Young-Shin
Won Yong-Sung
Jin Dong-Chan
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Abstract
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We experienced a 59 year-old female diabetic CAPD patient with severe peritonitis due to perforated acute cholecystitis. Because of heart failure due to old myocardial infarction and cerebral infarction she had been treated with CAPD for 5 years in bed-ridden state. Initial presentation was dark brown colored peritoneal dialysate effluent (changed greenish bile color later) and septic shock. We diagnosed perforated acute cholecystitis by computerized tomography three days after improvement of sepsis. She was received laparoscopic cholecystectomy and continuous venovenous hemodiafiltration for two weeks and returned to peritoneal dialysis without complication. Secondary CAPD peritonitis with cholecystitis or bowel disease should be carefully considered in patients with specific dialysate color, which could be cured with laparoscopic surgery, and then patients can be returned to CAPD again without complication.
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KEYWORD
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CAPD, Peritonitis, Laparoscopic cholecystectomy
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