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

Eosinophilic peritonitis following peritoneal dialysis catheter insertion is an infrequent but important complication. While allergic reaction to catheter material has been noted to be a culprit, air infusion into the abdominal cavity has also been highlighted to be a cause of this complication. In...

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Veröffentlicht in:Seminars in dialysis 2008-03, Vol.21 (2), p.180-182, Article 180
Hauptverfasser: Fourtounas, Costas, Dousdampanis, Periklis, Hardalias, Andreas, Liatsikos, Evangelos, Vlachojannis, Jannis G.
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container_end_page 182
container_issue 2
container_start_page 180
container_title Seminars in dialysis
container_volume 21
creator Fourtounas, Costas
Dousdampanis, Periklis
Hardalias, Andreas
Liatsikos, Evangelos
Vlachojannis, Jannis G.
description Eosinophilic peritonitis following peritoneal dialysis catheter insertion is an infrequent but important complication. While allergic reaction to catheter material has been noted to be a culprit, air infusion into the abdominal cavity has also been highlighted to be a cause of this complication. In this article, we report two patients with end‐stage renal disease where air entrapment in the peritoneal cavity during a peritoneal dialysis catheter insertion resulted in eosinophilic peritonitis. The complication resolved with the reabsorption of entrapped intraperitoneal air and treatment with ketotifen. Peritonitis observed in the postoperative period during the peritoneoscopic insertion of a peritoneal dialysis catheter could be the result of air entrapment. Such patients might not require antibiotic therapy or catheter removal. Reabsorption of entrapped air and treatment with ketotifen might be all that is required.
doi_str_mv 10.1111/j.1525-139X.2007.00414.x
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subjects Adult
Catheterization - adverse effects
Eosinophilia - diagnosis
Eosinophilia - etiology
Eosinophilia - therapy
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Peritoneal Dialysis - instrumentation
Peritonitis - diagnosis
Peritonitis - etiology
Peritonitis - therapy
Pneumoperitoneum - diagnosis
Pneumoperitoneum - etiology
Pneumoperitoneum - therapy
title Eosinophilic Peritonitis Following Air Entrapment During Peritoneoscopic Insertion of Peritoneal Dialysis Catheters
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