In this short review we highlight the diagnostic challenge presented by surgical peritonitis in peritoneal dialysis patients, giving attention to etiology, clinical presentation, diagnosis, and management. Despite improvements in medical imaging and a reduction in overall rates of peritonitis in peritoneal dialysis, the mortality of surgical peritonitis has not changed in recent years and remains a challenge for the clinical team.
NewmanL.N., CachoC.P., SchulakJ.A., WeissM.F.Abdominal catastrophe: definition and proposal for a new approach.Adv Perit Dial2001; 17: 93–7.
3.
SzetoC.C., ChowK.M., WongT.Y., LeungC.B., LiP.K.Conservative management of polymicrobial peritonitis complicating peritoneal dialysis—a series of 140 consecutive cases.Am J Med2002; 113: 728–33.
4.
HarwellC.M., NewmanL.N., CachoC.P., MulliganD.C., SchulakJ.A., FriedlanderM.A.Abdominal catastrophe: visceral injury as a cause of peritonitis in patients treated by peritoneal dialysis.Perit Dial Int1997; 17: 586–94.
5.
KernE.O., NewmanL.N., CachoC.P., SchulakJ.A., WeissM.F.Abdominal catastrophe revisited: the risk and outcome of enteric peritoneal contamination.Perit Dial Int2002; 22: 323–34.
6.
YangC.C., LinS.H., TzengY.H., ChenC.A., TsaiS.H.Splenic infarction: an unrecognized cause of culture-negative peritonitis in a continuous ambulatory peritoneal dialysis patient.Clin Nephrol2007; 68: 262–5.
BorgholM., AlrabeeahA.Entrapment of the appendix and the fallopian tube in peritoneal dialysis catheters in two children.J Pediatr Surg1996; 31: 427–9.
11.
KimD.K., YooT.H., RyuD.R., XuZ.G., KimH.J., ChoiK.H.Changes in causative organisms and their antimicrobial susceptibilities in CAPD peritonitis: a single center's experience over one decade.Perit Dial Int2004; 24: 424–32.
12.
FaberM.D., YeeJ.Diagnosis and management of enteric disease and abdominal catastrophe in peritoneal dialysis patients with peritonitis.Adv Chronic Kidney Dis2006; 13: 271–9.
13.
de FreitasD.G., GokalR.Sterile peritonitis in the peritoneal dialysis patient.Perit Dial Int2005; 25: 146–51.
14.
ArchodovassilisF., LagoudiannakisE.E., TsekourasD.K., VlachosK., AlbanopoulosK., FillisK.Nonocclusive mesenteric ischemia: a lethal complication in peritoneal dialysis patients.Perit Dial Int2007; 27: 136–41.
CarmeciC., MuldowneyW., MazbarS.A., BloomR.Emergency laparotomy in patients on continuous ambulatory peritoneal dialysis.Am Surg2001; 67: 615–18.
17.
YehiaM., de ZoysaJ.R., CollinsJ.F.Is computerized tomography useful in identifying abdominal catastrophes in patients presenting with peritonitis?Perit Dial Int2008; 28: 385–90.
CochranS.T., DoH.M., RonaghiA., NissensonA.R., KadellB.M.Complications of peritoneal dialysis: evaluation with CT peritoneography.Radiographics1997; 17: 869–78.
20.
FaberM.D.Predicting outcomes of peritoneal-dialysis-associated peritonitis based on dialysate white blood cell count.Nat Clin Pract Nephrol2007; 3: 14–15.
21.
MillerG.V., BhandariS., BrownjohnA.M., TurneyJ.H., BensonE.A.‘Surgical’ peritonitis in the CAPD patient.Ann R Coll Surg Engl1998; 80: 36–9.
22.
SteinerR.W., HalaszN.A.Abdominal catastrophes and other unusual events in continuous ambulatory peritoneal dialysis patients.Am J Kidney Dis1990; 15: 1–7.
PrasadN., GuptaA., SharmaR.K., SinhaA., KumarR.Impact of nutritional status on peritonitis in CAPD patients.Perit Dial Int2007; 27: 42–7.
25.
WigginsK.J., JohnsonD.W., CraigJ.C., StrippoliG.F.Treatment of peritoneal dialysis-associated peritonitis: a systematic review of randomized controlled trials.Am J Kidney Dis2007; 50: 967–88.
26.
HanS.H., LeeS.C., AhnS.V., LeeJ.E., ChoiH.Y., KimB.S.Improving outcome of CAPD: twenty-five years’ experience in a single Korean center.Perit Dial Int2007; 27: 432–40.