Chyloperitoneum in peritoneal dialysis: a case report and review of literature

Martha Patricia Rodríguez-Sánchez Departamento de Medicina Interna y Nefrología, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá
Maité Hurtado-Uriarte Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá
Jorge Ernesto Andrés Díaz-Ruiz RTS Baxter, Medellín
Camila Vergara Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá
J. Andrés Cuestas RTS Baxter, Medellín
Margarita Otálora-Esteban Margarita Otálora-Esteban Residencia, Departamento de Anestesiología, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá
Camilo Castañeda-Cardona Neuroeconomix, Bogotá
Diego Rosselli Departamento de Epidemiología Clínica y Bioestadística, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá

Keywords: chylous ascites, complications, peritoneal dialysis, renal dialysis, chyloperitoneum

Abstract

Chyloperitoneum is a rare condition associated with peritoneal dialysis. In most cases it is misdiagnosed as bacterial peritonitis, but it can also be a consequence of this infection. We present the spontaneous development of chyloperitoneum in a 54 year old patient with chronic kidney disease secondary to diabetic nephropathy, in manual peritoneal dialysis for 5 years. The treatment consisted of temporary suspension of peritoneal dialysis, bowel rest, supply of a diet with a high content of medium chain fatty acids and infusion of octreotide. After 10 days the patient showed improvement, and peritoneal dialysis was restarted. A systematic search of the literature found 16 published cases (11 women), ranging in age from newborn to 88 years.

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Published

2019-07-16

How to Cite

Rodríguez-Sánchez MP, Hurtado-Uriarte M, Díaz-Ruiz JEA, Vergara C, Cuestas JA, Margarita Otálora-Esteban MO-E, Castañeda-Cardona C, Rosselli D. Chyloperitoneum in peritoneal dialysis: a case report and review of literature. Rev Nefrol Dial Traspl. [Internet]. 2019Jul.16 [cited 2024Jul.16];39(2):115-9. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/435