Conservative management of massive hemoperitoneum caused by spontaneous renal rupture in a CAPD patient

Abstract

We report a CAPD patient who showed massive bloody effluent two days after a sudden episode of left back pain. The hemoperitoneum was due to spontaneous renal rupture which was diagnosed by computed tomography and selective angiography. He was managed conservatively with transarterial embolization to the left renal artery, and he maintained his usual peritoneal dialysis progress without loss of peritoneal membrane functions. Massive hemoperitoneum is an unusual complication in patients undergoing CAPD. In most cases, it's due to a benign process such as menstruation or enema and disappears spontaneously in a few days. But the present case and those in the literature indicate that hemoperitoneum in CAPD patients is not always directly related to renal failure or its therapy.