부산대학교 도서관

Introduction. Peritoneal dialysis (PD) is a treatment of choice in end stage renal disease (ESRD) patients, especially those with vascular access problems. However, occasionally, these patients' condition may be complicated by cholecystopathy, including either cholelithiasis and/ or cholecystitis. Importantly, surgical interventions for a disease that disturb the integrity of abdominal cavity boundaries can disrupt the regular PD schedule. Case report. 19-year-old white female, presented at University Clinic of Nephrology with dyspepsia, vomiting, and intermittent right upper quadrant abdominal pain, present for couple of weeks. She was with ESRD on maintenance peritoneal dialysis program since 2017. The history of a recurrent right upper quadrant abdominal pain with the laboratory data at the hospital admission, suggested that a gastroenterohepatologist should be contacted for ultrasonography examination of the abdomen. The evidence of a gall-bladder mass, indicated the need for cholecystectomy. Abdominal surgeon was contacted, and cholecystectomy was scheduled. The patient underwent laparoscopic cholecystectomy (LC). The peritoneal catheter was still placed in the peritoneal cavity regardless of the surgical procedure. No complications during surgery were reported. Post - operative course was also uneventful. Conclusions. Recent reports suggest that it is possible to successfully and safely perform laparoscopic procedures in patients on PD without removing the PD catheter and with a relatively short period of HD in the interim period before resuming PD. [ABSTRACT FROM AUTHOR]