Eosinophilic Peritonitis Following Air Entrapment During Peritoneoscopic Insertion of Peritoneal Dialysis Catheters

Fourtounas, Costas; Dousdampanis, Periklis; Hardalias, Andreas; Liatsikos, Evangelos; Vlachojannis, John G.

doi:10.1111/j.1525-139x.2007.00414.x

Cited by 4 publications

(3 citation statements)

References 8 publications

(17 reference statements)

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“…These together strongly support the suggestion that EP is an allergic reaction that is not localized to the surface of the peritoneum. Several mechanisms have been suggested to cause this allergic reaction, including presence of air in the peritoneal cavity [10,11], effect of dialysis solutions or dialysate additives such as antibiotics [9,12,13] and streptokinase [14], and even effect of oral drugs [15]. However, none of these could well explain the situation in our patient.…”

Section: Discussionmentioning

confidence: 72%

Peritoneal dialysis related eosinophilic peritonitis: a case report and review of the literature

et al. 2023

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Background Overt eosinophilic peritonitis (EP) is a relatively uncommon complication of peritoneal dialysis (PD), although not rare. Here we reported a case of EP relieved after changing dialysate. Case presentation A 28-year old male patient developed cloudy PD effluents within the first month after PD started. Cytological study of PD effluents showed elevated white blood cells and polynuclear cells. Bacteria culture of PD effluents repeated for several times were all negative, and no pathogen was found by metagenomics next generation sequencing (mNGS). Antibiotic therapy for 28-day was ineffective. Based on these and increased eosinophils in peritoneal fluid, he was finally diagnosed as EP. PD dialysate was changed (consists of the same buffer agent and electrolytes, but is packed in bags that do not contain PVC), and the patient’s PD effluent became clear. Of note, EP did not relapse 5 months later when the patient started to use the former PD solution again. Conclusion Although PD effluent turbidity almost always represents infectious peritonitis, there are other differential diagnoses including EP. For patients with cloudy fluid accompanied by mild symptoms who do not response to antibiotic therapy, it is reasonable to consider the possibility of this disease. EP tends to heal spontaneously, however, antihistamines or glucocorticoids are required sometimes to avoid catheter obstruction. For patients with no obvious incentives, replacement of dialysate may be useful.

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Section: Discussionmentioning

confidence: 72%

Peritoneal dialysis related eosinophilic peritonitis: a case report and review of the literature

et al. 2023

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“…Single-center case series seem to suggest that idiopathic and infectious PD-related peritonitis comprise 50% each of all patients (3); clinical experience suggests that at least some of these cases may be caused by pneumoperitoneum (4). There are several considerations at the time of presentation that can help make a clinical distinction between idiopathic eosinophilic peritonitis and infectious peritonitis.…”

Section: Question 1bmentioning

confidence: 99%

American Society of Nephrology Quiz and Questionnaire 2014

Mehrotra

Perazella

Choi

2015

Clinical Journal of the American Society of Nephrology

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The Nephrology Quiz and Questionnaire (NQ&Q) remains an extremely popular session for attendees of the Annual Kidney Week Meeting of the American Society of Nephrology (ASN). Once again, the conference hall was overflowing with audience members and eager quiz participants. Topics covered by the expert discussants included electrolyte and acid-base disorders, glomerular disease, end-stage renal disease/dialysis, and transplantation. Complex cases representing each of these categories along with single best answer questions were prepared and submitted by the panel of experts. Prior to the meeting, program directors of U.S. nephrology training programs and nephrology fellows answered the questions through an internet-based questionnaire. During the live session, members of the audience tested their knowledge and judgment on a series of case-oriented questions prepared and discussed by experts. They compared their answers in real time using audience response devices with the answers of the nephrology fellows and training program directors (TPDs). The correct and incorrect answers were then discussed after the audience responses and the results of the questionnaire were displayed. As always, the audience, lecturers, and moderators enjoyed this educational session. This article recapitulates the session and reproduces its educational value for the readers of the Clinical Journal of the American Society of Nephrology. Enjoy the clinical cases and expert discussions.

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“…Pneumoperitoneum chronicity was assessed in Patient 1 after a re-examination of her ‘normal’ supine abdomen X-ray in the ‘tympanites’ episode and in Patient 2 by the reconsideration of his successive eosinophilic peritonitis episodes. This condition, defined as a predominance of eosinophils in the peritoneal fluid, is a well-known effect of pneumoperitoneum [ 1 , 2 ].…”

Section: Explanationmentioning

confidence: 99%

Long-term pneumoperitoneum in continuous ambulatory peritoneal dialysis (CAPD) caused by handling fault of Stay.Safe(R) system associated to bicaVera solution

Pérez-Díaz

Oviedo-Gómez

Fernández-Carbajo

et al. 2011

Clinical Kidney Journal

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We found chronic pneumoperitoneum in two continuous ambulatory peritoneal dialysis patients from two different hospitals. Both patients used the Stay.Safe® system and bicaVera solution, whose extension tubing is not primed with fluid but air-filled, unlike that of the conventional solution bags. This fact, together with a handling fault common to both patients, resulted in the inflow of the air in the tubing of bicaVera bags into the peritoneal cavity during every exchange. We warn of this complication, which must be specifically pointed out during training, and we recommend providing the system with a mechanic device to prevent this handling fault.

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Eosinophilic Peritonitis Following Air Entrapment During Peritoneoscopic Insertion of Peritoneal Dialysis Catheters

Cited by 4 publications

References 8 publications

Peritoneal dialysis related eosinophilic peritonitis: a case report and review of the literature

Peritoneal dialysis related eosinophilic peritonitis: a case report and review of the literature

American Society of Nephrology Quiz and Questionnaire 2014

Long-term pneumoperitoneum in continuous ambulatory peritoneal dialysis (CAPD) caused by handling fault of Stay.Safe(R) system associated to bicaVera solution

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