Abstract
We presented a case of pneumoperitoneum caused by technical error during peritoneal dialysis using cycler. The patient was a 62-year-old man on peritoneal dialysis for 4 years. He had required peritoneal dialysis using cycler for the last 2 years. When the patient broke the click-tip of a bag for priming the cycler, he accidentally made pinhole in the bag. He noted massive volume of air entering the peritoneum, immediately after the cycler was started. Subsequently, he developed dyspnea and acute abdominal pain. He came to the hospital next day. A chest X-ray film disclosed an air shadow measuring 38mm in diameter.
Although peritoneal air was absorbed spontaneously, the ultra-filtration volume was reduced by 12% after 3 months. These findings indicate that pneumoperitoneum may induce ultrafiltration failure.
