Two Cases of Peritoneal Dialysis-related Peritonitis Treated with Laparoscopic Peritoneal Lavage

Abstract

Peritoneal dialysis-related peritonitis is one of the most serious complications that can occur in patients undergoing peritoneal dialysis. We report our experience with laparoscopic catheter removal and peritoneal lavage in two cases of peritoneal dialysis-related peritonitis. Case 1 : A 68-year-old man, who had been on peritoneal dialysis for 4 years, was admitted to the hospital with peritoneal dialysis-related peritonitis. Candida albicans was detected in the waste fluid culture, and fungal peritonitis was diagnosed. Case 2 : A 44-year-old man who had been on peritoneal dialysis for 3 months developed peritoneal dialysis-related peritonitis secondary to outlet infection. After 5 days of antibiotic therapy, he continued to have fever and cloudy peritoneal effluent and was diagnosed with refractory peritonitis. In these two cases, we removed the catheters and then performed abdominal lavage via laparoscopy until there was no cloudiness in the lavage fluid. No postoperative complications were observed. Early catheter removal combined with peritoneal lavage drainage will contribute to the safe treatment of peritoneal dialysis-related peritonitis.