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- Title
Intra-Peritoneal Pseudocyst as a Rare Complication After Peritoneal Dialysis: The Use of a Staged Surgical Approach in Management.
- Authors
Kharsa, Ahmad; Colvill, Kayla; Stevenson, Heather; Fair, Jeffrey; Kulkarni, Rupak; Mujtaba, Muhammad; Keuht, Michael
- Abstract
Despite its numerous benefits, peritoneal dialysis (PD) can rarely result in dangerous and even life-threatening complications, including peritonitis, hernias, encapsulating peritoneal sclerosis (EPS), and rarely peritoneal pseudocysts. Herein, we present a rare case of a giant intra-peritoneal pseudocyst that presented four months following the discontinuation of a 5-year course of complicated PD. Despite the initially successful drainages, the patient's symptoms continued to recur, and the imaging findings were concerning for underlying neoplastic processes. As such, a staged surgical approach was performed, starting with a diagnostic laparoscopy and was subsequently followed with cyst excision and marsupialization to the peritoneal cavity. While previous reports of such rare pseudocyst have been documented in the literature as a complication of PD, to our knowledge, this is the second case of pseudocyst formation to occur months after the discontinuation of PD therapy. This case emphasizes the importance of close follow-up in PD patients and showcases how a staged surgical approach can be utilized to accurately diagnose and manage such complicated cases.
- Subjects
PERITONEAL dialysis; PERITONEUM; HERNIA; INTRA-abdominal infections; PERITONITIS
- Publication
American Surgeon, 2023, Vol 89, Issue 11, p4918
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/00031348211047465