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BMC Nephrology
Published in: BMC Nephrology 1/2018

Open Access 01-12-2018 | Case report

Green dialysate and gallbladder perforation in a peritoneal dialysis patients: a case report and literature review

Authors: Yueh-Lin Wu, Yi-Sheng Lin, Thomas Yu-Ren Hsueh, Wen-Ching Lo, Kuo-Chou Peng, Mu-Jung Kao

Published in: BMC Nephrology | Issue 1/2018

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Abstract

Background

Gallbladder perforation is a rare but lethal condition and its diagnosis is usually difficult and delayed. Frequently, gallbladder rupture is associated with cholecystitis, but spontaneous perforation was ever described. However, spontaneous rupture of gallbladder has never been reported in patients underwent peritoneal dialysis.

Case presentation

We report a 62-year-old man who presented with abdominal pain for 2 days to clinic. Peritoneal dialysis-related peritonitis was diagnosed initially. It was followed by spontaneous gallbladder perforation with greenish dialysate. The patient was managed successfully by antibiotic treatment and primary closure of gallbladder perforation with external drainage. He recovered from this critical condition and stayed on dialysis.

Conclusions

Early diagnosis and timely surgical intervention yields a good prognosis in PD patients with gallbladder perforation. Surgical intervention and antibiotic treatment are the mainstay of treatment. Both of them should take place promptly.
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Metadata
Title
Green dialysate and gallbladder perforation in a peritoneal dialysis patients: a case report and literature review
Authors
Yueh-Lin Wu
Yi-Sheng Lin
Thomas Yu-Ren Hsueh
Wen-Ching Lo
Kuo-Chou Peng
Mu-Jung Kao
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Nephrology / Issue 1/2018
Electronic ISSN: 1471-2369
DOI
https://doi.org/10.1186/s12882-018-0974-6

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