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Perit Dial Int 27(3): 226-233 2007
© 2007 International Society for Peritoneal Dialysis
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CASE COMMENTARIES IN PERITONEAL DIALYSIS

HEMOPERITONEUM: BLOODY PERITONEAL DIALYSATE IN ESRD PATIENTS RECEIVING PERITONEAL DIALYSIS

Susie Q. Lew

Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, DC, USA

Correspondence to: S. Lew, 2150 Pennsylvania Avenue, NW 1-200, Washington, DC 20037 USA.
sqlew{at}gwu.edu

Hemoperitoneum is seen in patients receiving peritoneal dialysis (PD) because the PD catheter provides a window to the peritoneum. Gynecological associated phenomena account for the majority of cases. Intra-abdominal pathology of solid organs such as the kidney, liver, and spleen as well as the gastrointestinal tract is recognized. Unique to PD patients, hemoperitoneum may be associated with the catheter itself, uremic bleeding, or peritonitis. A successful PD program requires nephrologists, PD nurses, and patients assess and manage hemoperitoneum in a systematic fashion. This paper reviews hemoperitoneum in adult PD patients.

KEY WORDS: KEY WORDS:; Hemoperitoneum; blood; end-stage renal disease (ESRD); peritoneum..

Received 26 October 2006; accepted 2 February 2007.






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