Transection versus infection: Acute appendicitis in a peritoneal dialysis patient presenting as catheter dysfunction and discontinuity on X-ray

Tatiana Thom, Deanne Leonard, Peter Fitzpatrick, Nabeel Aslam

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Acute appendicitis in peritoneal dialysis patients generally presents as abdominal pain and cloudy dialysate. We report a case of acute appendicitis in a peritoneal dialysis patient that presented as poor dialysate fluid drainage and an abnormal abdominal X-ray showing breakage in the continuity of the catheter. Catheter dysfunction in this case was caused by acute appendicitis leading to the formation of adhesions with peritoneal dialysis catheter trapped in it. This resulted in radiological appearance of catheter breakage, although catheter itself was intact. Clinicians should be aware of this rare presentation of acute appendicitis-poor drain alarm and radiological appearance of catheter discontinuity.

Original languageEnglish (US)
Article number223863
JournalBMJ case reports
Volume2018
DOIs
StatePublished - 2018

Keywords

  • dialysis
  • infections

ASJC Scopus subject areas

  • Medicine(all)

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