Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter

  • Anna Silda Nephrology Department, Pauls Stradins Clinical University Hospital, Riga
  • Viktorija Kuzema Nephrology Department, Pauls Stradins Clinical University Hospital, Riga
  • Ilze Puide Nephrology Department, Pauls Stradins Clinical University Hospital, Riga
  • Harijs Cernevskis Nephrology Department, Pauls Stradins Clinical University Hospital, Riga
  • Aivars Petersons Nephrology Department, Pauls Stradins Clinical University Hospital, Riga

Keywords

cholecystitis, gallbladder perforation, green dialysate, peritoneal catheter, peritoneal dialysis

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.

VIEW THE ENTIRE ARTICLE

References

  • Gobel T, Kubitz R, Blondin D, Haussinger D. Intrahepatic type II gall bladder perforation by a gall stone an a CAPD patient. Eur J Med Res 2011;16:213–216.
  • Badalamenti S, DeFazio C, Castelnovo C, Sangiovanni A, Como G, De Vecchi A, et al. High prevalence of silent gallstone disease in dialysis patients. Nephron 1994;66:225–7.
  • Chen YT, Ou SM, Chao PW, Li SY, Chen TJ et al. Acute cholecystitis in end-stage renal disease patients: a nation-wide longitudinal study. Dig Liver Dis 2013;45:142–6.
  • Geddes CC, Waterson A, Asari A, Smith WG. Perforation of the gallbladder in a patient on continuous ambulatory peritoneal dialysis. Nephrol Dial Transplant 1996;11:2493–2494.
  • Babin J, Langlois S, Friede J, Guay G, Agharazii M. Green dialysate: asymptomatic perforated cholecystitis without peritonitis. Nephrol Dial Transplant 2006;21:1121–2.
  • Chia-Ter C, Jeng-Wen H. Asymptomatic green dialysate. Am J Med Sci 2012;344:227.
  • Yi-Teng C, Chun-Chieh H, Chin-Chi K, Huey-Wen C, Ming-Shiou W. Green dialysate. Kidney Int 2010;77:369.
  • Published: 2016-04-12

    Issue: Vol. 3 No. 3 (view)

    Section: Articles

    How to cite:
    1.
    Silda A, Kuzema V, Puide I, Cernevskis H, Petersons A. Gallbladder Perforation with Postoperative Preservation of Peritoneal Dialysis Catheter. EJCRIM 2016;3 doi:10.12890/2016_000378.