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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Peritoneal dialysis is a common modality of renal replacement therapy and many patients do choose this modality based on personal choice and comfort. This choice do carry risk of peritonitis during the course of treatment.
A 46 years old female chronic kidney disease on CAPD since 10 years presented with abdominal lump – 15 days, abdominal pain -15 days with no history of fever. Diagnosed as para-umblical hernia; surgery was planned. Peritoneal dialysis fluid was cloudy with 9000 cells/ml, TLC with 95% neutrophilic predominance and culture were suggestive of pseudomonas aeruginosa.
Patient was initiated on intraperitoneal antibiotics cefepime ,vancomycin and amikacin .But following a week of treatment she still had abdominal pain and cloudiness of PD effluent remained. Culture was still positive for pseudomonas aeruginosa. PD fluid total leucocyte count was 3500 cells/ml with 90% neutrophilic predominance. As it was refractory PD peritonitis ;patient was shifted to hemodialysis ,CAPD catheter was removed along with hernia repair. During surgery it was found that abdominal cavity was filled with pus and which was drained as well during surgery. Adhesions were also noted during surgery. Antibiotics were continued for 2 weeks more and thrice a week maintenance hemodialysis were continued.
The aim of this case report is to bring secondary peritoneal dialysis peritonitis in the canvas of our clinical acumen. In patients on continuous ambulatory peritoneal dialysis abdominal pain and lump with refractory PD peritonitis is a red flag and shouldn’t be ignored. Secondary PD peritonitis; however rare but could be an elephant in the room in continuous ambulatory peritoneal dialysis patients with abdominal lump.
