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Mesenteric ischemia masquerading as refractory peritonitis in continuous ambulatory peritoneal dialysis patients.

Vishwakarma K, Anandh U - Indian J Nephrol (2015 Nov-Dec)

Bottom Line: On evaluation of refractory peritonitis we found evidence of non occlusive mesenteric ischemia.Despite adequate treatment both succumbed to their illness.Abdominal pathology, especially mesenteric ischemia leading to gut infarction, should be considered in patients with refractory peritonitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, SGPGI, Lucknow, Uttar Pradesh, India.

ABSTRACT
We report two cases of mesenteric ischemia in patients on long term peritoneal dialysis both of which were associated with poor outcomes. Both were diabetic and on peritoneal dialysis for a long time. On evaluation of refractory peritonitis we found evidence of non occlusive mesenteric ischemia. Despite adequate treatment both succumbed to their illness. Abdominal pathology, especially mesenteric ischemia leading to gut infarction, should be considered in patients with refractory peritonitis.

No MeSH data available.


Related in: MedlinePlus

Exploratory laparatomy showing extensive infarction of the gut
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Figure 1: Exploratory laparatomy showing extensive infarction of the gut

Mentions: An exploratory laparotomy revealed extensive infarction of the gut extending from jejunum to transverse colon [Figure 1]. No vascular occlusive lesion was found and arterial pulsations were appreciated by the operating surgeon. No resection was attempted because of extensive gut involvement.


Mesenteric ischemia masquerading as refractory peritonitis in continuous ambulatory peritoneal dialysis patients.

Vishwakarma K, Anandh U - Indian J Nephrol (2015 Nov-Dec)

Exploratory laparatomy showing extensive infarction of the gut
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663779&req=5

Figure 1: Exploratory laparatomy showing extensive infarction of the gut
Mentions: An exploratory laparotomy revealed extensive infarction of the gut extending from jejunum to transverse colon [Figure 1]. No vascular occlusive lesion was found and arterial pulsations were appreciated by the operating surgeon. No resection was attempted because of extensive gut involvement.

Bottom Line: On evaluation of refractory peritonitis we found evidence of non occlusive mesenteric ischemia.Despite adequate treatment both succumbed to their illness.Abdominal pathology, especially mesenteric ischemia leading to gut infarction, should be considered in patients with refractory peritonitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, SGPGI, Lucknow, Uttar Pradesh, India.

ABSTRACT
We report two cases of mesenteric ischemia in patients on long term peritoneal dialysis both of which were associated with poor outcomes. Both were diabetic and on peritoneal dialysis for a long time. On evaluation of refractory peritonitis we found evidence of non occlusive mesenteric ischemia. Despite adequate treatment both succumbed to their illness. Abdominal pathology, especially mesenteric ischemia leading to gut infarction, should be considered in patients with refractory peritonitis.

No MeSH data available.


Related in: MedlinePlus