Eosinophilic peritonitis following air entrapment during peritoneoscopic insertion of peritoneal dialysis catheters

Semin Dial. Mar-Apr 2008;21(2):180-2. doi: 10.1111/j.1525-139X.2007.00414.x. Epub 2008 Feb 1.

Abstract

Eosinophilic peritonitis following peritoneal dialysis catheter insertion is an infrequent but important complication. While allergic reaction to catheter material has been noted to be a culprit, air infusion into the abdominal cavity has also been highlighted to be a cause of this complication. In this article, we report two patients with end-stage renal disease where air entrapment in the peritoneal cavity during a peritoneal dialysis catheter insertion resulted in eosinophilic peritonitis. The complication resolved with the reabsorption of entrapped intraperitoneal air and treatment with ketotifen. Peritonitis observed in the postoperative period during the peritoneoscopic insertion of a peritoneal dialysis catheter could be the result of air entrapment. Such patients might not require antibiotic therapy or catheter removal. Reabsorption of entrapped air and treatment with ketotifen might be all that is required.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheterization / adverse effects*
  • Eosinophilia / diagnosis
  • Eosinophilia / etiology*
  • Eosinophilia / therapy
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Male
  • Middle Aged
  • Peritoneal Dialysis / instrumentation*
  • Peritonitis / diagnosis
  • Peritonitis / etiology*
  • Peritonitis / therapy
  • Pneumoperitoneum / diagnosis
  • Pneumoperitoneum / etiology*
  • Pneumoperitoneum / therapy