Green dialysate and gallbladder perforation in a peritoneal dialysis patients: a case report and literature review

Gallbladder perforation is a rare but lethal condition and its diagnosis is usually difficult and delayed. Frequently, gallbladder rupture is associated with cholecystitis, but spontaneous perforation was ever described. However, spontaneous rupture of gallbladder has never been reported in patients...

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Bibliographic Details
Published in:BMC nephrology 2018-07, Vol.19 (1), p.165-165, Article 165
Main Authors: Wu, Yueh-Lin, Lin, Yi-Sheng, Hsueh, Thomas Yu-Ren, Lo, Wen-Ching, Peng, Kuo-Chou, Kao, Mu-Jung
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Blood
Cardiovascular disease
Care and treatment
Case Report
Case reports
Catheters
Cholecystectomy
Cholecystitis
Diagnosis
Effluents
Gallbladder
Gallbladder diseases
Gallbladder perforation
Green dialysate
Health aspects
Hemodialysis patients
Literature reviews
Mortality
Nephrology
Pain
Patients
Peritoneal dialysis
Peritoneum
Peritonitis
Pneumonia
Prognosis
Rupture
Surgical outcomes
Trauma
Ultrasonic imaging
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Summary:Gallbladder perforation is a rare but lethal condition and its diagnosis is usually difficult and delayed. Frequently, gallbladder rupture is associated with cholecystitis, but spontaneous perforation was ever described. However, spontaneous rupture of gallbladder has never been reported in patients underwent peritoneal dialysis. We report a 62-year-old man who presented with abdominal pain for 2 days to clinic. Peritoneal dialysis-related peritonitis was diagnosed initially. It was followed by spontaneous gallbladder perforation with greenish dialysate. The patient was managed successfully by antibiotic treatment and primary closure of gallbladder perforation with external drainage. He recovered from this critical condition and stayed on dialysis. Early diagnosis and timely surgical intervention yields a good prognosis in PD patients with gallbladder perforation. Surgical intervention and antibiotic treatment are the mainstay of treatment. Both of them should take place promptly.
ISSN:1471-2369
1471-2369
DOI:10.1186/s12882-018-0974-6