Peritonitis in peritoneal dialysis (PD) patients is characterized by abdominal pain and dialysate leukocytosis. Abdominal abscesses have been reported in PD patients with relapsing peritonitis. We report here 3 cases of lesser sac infection in PD patients who had severe abdominal pain but not generalized or diffuse peritonitis.
ChenC.H., ChouY.H., TiuC.M., HouC.C., YangC.L., NgY.Y.Lesser sac abscess induced relapsing peritonitis in a CAPD patient.Nephron2002; 92: 952–4.
2.
NishidaM., OkumuraY., FujiM., YonedaT., YamamotoY., OzawaS.Pancreatitis and pancreatic abscess in a CAPD patient with severe malnutrition.Nephrol Dial Transplant2007; 22: 975.
3.
BlakeP., AbrahamG., BargmanJ., VasS., MathewsR., HaberstrohB.Splenic abscess and peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) patient.Perit Dial Int1989; 9: 73–4.
4.
ChangY.P., ChenT.W., ChenC.P., NgY.Y., YangW.C.Inguinal abscess in a CAPD patient secondary to inguinal hernia and repeated episodes of peritonitis: a case report.Perit Dial Int1999; 19: 177–8.
5.
HuJ., SheuM.H., YangW.C., LiJ.C., NgY.Y.Peritonitis and pancreatic abscess in a CAPD patient.Perit Dial Int2002; 22: 430–1.
6.
TwardowskiZ.J., TullyR.J., ErsoyF.F., DedhiaN.M.Computerized tomography with and without intraperitoneal contrast for determination of intraabdominal fluid distribution and diagnosis of complications in peritoneal dialysis patients.ASAIO Trans1990; 36: 95–103.
7.
SinghS., WadhwaN.Peritonitis, pancreatitis, and infected pseudo cyst in a continuous ambulatory peritoneal dialysis patient.Am J Kidney Dis1987; 9: 84–6.
8.
WilsonS.E., GordonH.E., PassaroE.Jr.Nonpancreatic abscess of the lesser sac.Am J Surg1973; 126: 235–43.
9.
CakirB., KirbasI., CevikB., UluE., BayrakA., CoskunM.Complications of continuous ambulatory peritoneal dialysis: evaluation with CT.Diagn Interv Radiol2008; 14: 212–20.
10.
GoreR.M., CallenP.W., FillyR.A.Lesser sac fluid in predicting the etiology of ascites: CT findings.AJR Am J Roentgenol1982; 139: 71–4.