User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

When the color of peritoneal dialysis effluent can be used as a diagnostic tool

Primary tabs

download
  • Open access
  • PDF
  • 1.11 M
Dossin, Thomas [UCL] Goffin, Eric [UCL]

(eng) Peritoneal dialysis (PD) effluent is normally transparent. A change in its appearance may be the first indication of an intra- or extraperitoneal abnormality which may or may not be related to the peritoneal dialysis technique itself. What diagnosis should be considered when PD effluent turns on red, orange, cloudy, milky white, green, yellow, purple or black in color? After review of the literature, we propose a differential diagnosis, as well as some management recommendations, for specific abnormal color presentations of the PD effluent.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès libre
Publication date 2019
Language Anglais
Journal information "Seminars in Dialysis" - Vol. 32, no. 1, p. 72-79 (2019)
Peer reviewed yes
Publisher Blackwell Science ((United States) Cambridge, MA)
issn 0894-0959
e-issn 1525-139X
Publication status Publié
Affiliations UCL - SSS/IREC/NEFR - Pôle de Néphrologie
UCL - (SLuc) Service de néphrologie
Keywords Nephrology ; Bloody effluent ; Chyloperitoneum ; Peritoneal dialysis ; Peritonitis ; Rhabdomyolysis
Links
  1. Greenberg Arthur, Bernardini Judith, Piraino Beth M., Johnston James R., Perlmutter Jeffrey A., Hemoperitoneum Complicating Chronic Peritoneal Dialysis: Single-Center Experience and Literature Review, 10.1016/s0272-6386(13)80006-6
  2. Tse, Perit Dial Int, 22, 488 (2002)
  3. Niepen, Perit Dial Int, 14, 90 (1994)
  4. Syed, Adv Perit Dial, 9, 202 (1993)
  5. Lew, Perit Dial Int, 27, 226 (2007)
  6. Borràs Mercè, Valdivielso Jose M., Egido Ramón, Vicente de Vera Pilar, Bordalba Josep Ramón, Fernández Elvira, Haemoperitoneum caused by bilateral renal cyst rupture in an ACKD peritoneal dialysis patient, 10.1093/ndt/gfi298
  7. Hammami, N Am J Med Sci, 2, 238 (2010)
  8. Miller, Perit Dial Int, 16, 528 (1996)
  9. Nace, Perit Dial Int, 5, 42 (1985)
  10. Luni Faraz Khan, Bawany Muhammad Zohaib, Khan Abdur Rahman, Nawras Ali, Vetteth Sandeep, Haemoperitoneum post colonoscopy in a continuous ambulatory peritoneal dialysis patient, 10.1016/j.ajg.2014.04.006
  11. Bargman J. M., Noninfectious Complications of Peritoneal Dialysis, Nolph and Gokal’s Textbook of Peritoneal Dialysis (2009) ISBN:9780387789392 p.571-609, 10.1007/978-0-387-78940-8_20
  12. Fernandez, Perit Dial Int, 16, 644 (1996)
  13. Campisi, Perit Dial Int, 12, 78 (1992)
  14. Lew, Perit Dial Int, 26, 108 (2006)
  15. Balafa O., Koundouris S., Mitsis M., Siamopoulos K. C., An Unusual Case of Hemoperitoneum: Spontaneous Rectus Sheath Hematoma, 10.3747/pdi.2012.00178
  16. Pannekeet, Nephrol Dial Transplant, 8, 1376 (1993)
  17. Hassell, Clin Nephrol, 21, 241 (1984)
  18. Rinaldi, Perit Dial Int, 18, 71 (1998)
  19. Fine, Perit Dial Int, 16, 181 (1996)
  20. Kittisakmontri Kulnipa, Swangtrakul Napatsayod, Padungmaneesub Wiralpatch, Charoenkwan Pimlak, Gingival Bleeding and Bloody Dialysate: A Case Report of Scurvy in a Child With End-Stage Renal Disease Receiving Peritoneal Dialysis, 10.1053/j.jrn.2016.03.003
  21. Gernone, G Ital Nefrol, 31 (2014)
  22. Yap D. Y. H., Yip T. P. S., Lui S. L., Lo W. K., Ruptured Abdominal Aortic Aneurysm As a Cause of Spontaneous Hemoperitoneum in a Patient on Peritoneal Dialysis, 10.3747/pdi.2011.00006
  23. Goodkin, Perit Dial Int, 10, 227 (1990)
  24. Carter Thomas B., Garris Ann G., Ullian Michael E., Rusty peritoneal dialysis fluid after intravenous administration of iron dextran, 10.1016/s0272-6386(96)90044-x
  25. Li P. K.-T., Szeto C. C., Piraino B., de Arteaga J., Fan S., Figueiredo A. E., Fish D. N., Goffin E., Kim Y.-L., Salzer W., Struijk D. G., Teitelbaum I., Johnson D. W., ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment, 10.3747/pdi.2016.00078
  26. Rocklin Michael A., Teitelbaum Isaac, Noninfectious Causes of Cloudy Peritoneal Dialysate, 10.1046/j.1525-139x.2001.00012.x
  27. Waness, Saudi J Kidney Dis Transpl, 23, 44 (2012)
  28. Prischl, Perit Dial Int, 19, 81 (1999)
  29. Streather Christopher P., Carr Patrick, Barton Ian K., Carcinoma of the Kidney Presenting as Sterile Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis, 10.1159/000186395
  30. Steiner Robert W., Halasz Nicholas A., Abdominal Catastrophes and Other Unusual Events in Continuous Ambulatory Peritoneal Dialysis Patients, 10.1016/s0272-6386(12)80585-3
  31. Bistrup, Nephrol Dial Transplant, 10, 406 (1995)
  32. Alpert Bertram E., Folkert Vaughn W., Longnecker Robert E., Sherman Richard A., Acute Sterile Peritonitis, 10.1159/000182458
  33. Karanicolas S., Oreopoulos D.G., Izatt SH., Shimizu A., Manning R.F., Sepp H., deVeber G.A., Darby T., Epidemic of Aseptic Peritonitis Caused by Endotoxin during Chronic Peritoneal Dialysis, 10.1056/nejm197706092962309
  34. Mangram Alicia J., Archibald Lennox K., Hupert Mark, Tokars Jerome I., Silver L. Christine, Brennan Patrick, Arduino Matthew, Peterson Sonya, Parks Seaul, Raymond Alicia, Mccullough Margaret, Jones Martha, Wasserstein Allen, Kobrin Sidney, Jarvis William R., Outbreak of sterile peritonitis among continuous cycling peritoneal dialysis patients, 10.1046/j.1523-1755.1998.00110.x
  35. Tintillier, Perit Dial Int, 22, 534 (2002)
  36. Touré Fatouma, Lavaud Sylvie, Mohajer Mehdi, Lavaud François, Canivet Eric, Nguyen Philippe, Chanard Jacques, Rieu Philippe, Icodextrin-induced peritonitis: Study of five cases and comparison with bacterial peritonitis, 10.1111/j.1523-1755.2004.00430.x
  37. Freiman, Perit Dial Int, 12, 57 (1992)
  38. Charney David I., Gouge Steven F., Chemical Peritonitis Secondary to Intraperitoneal Vancomycin, 10.1016/s0272-6386(12)80255-1
  39. Piraino Beth M., Silver Marcia R., Dominguez Jesus H., Puschett Jules B., Peritoneal Eosinophils during Intermittent Peritoneal Dialysis, 10.1159/000166796
  40. Ejaz A. Ahsan, Fitzpatrick Peter M., Durkin Alan J., Wasiluk Andrzej, Haley William E., Goalen Melissa J., Ing Todd S., Zachariah Prince K., Pathophysiology of Peritoneal Fluid Eosinophilia in Peritoneal Dialysis Patients, 10.1159/000045266
  41. Sridhar, Perit Dial Int, 10, 100 (1990)
  42. Ampel Neil M., White Janelle D., Varanasi Umamaheswara R., Larwood Thomas R., Van Wyck David B., Galgiani John N., Coccidioidal Peritonitis Associated With Continuous Ambulatory Peritoneal Dialysis, 10.1016/s0272-6386(88)80088-x
  43. Basyigit Sebahat, Sapmaz Ferdane, Bora Feyza, Eosinophilic Peritonitis Caused byEchinococcus granulosusin a Patient Receiving Maintenance Peritoneal Dialysis, 10.1111/1744-9987.12355
  44. Wang Hsin-Hui, Yang Ling-Yu, Chang Jei-Wen, Hung Yeh-Ting, Lee Tzong-Yann, Tang Ren-Bin, Eosinophilic peritonitis: An unusual manifestation of tuberculous peritonitis in peritoneal dialysis patient, 10.1016/j.jcma.2011.05.009
  45. Rosner M. H., Chhatkuli B., Vancomycin-Related Eosinophilic Peritonitis, 10.3747/pdi.2010.00062
  46. Deweese R., Slavens J., Barua A., Sutton J., Vancomycin-induced eosinophilic peritonitis, 10.2146/ajhp150376
  47. Rathi Manish, Intraperitoneal streptokinase use-associated eosinophilic peritonitis, 10.4103/1319-2442.148760
  48. Kolb A., Gibson P., O'Sullivan E.D., Post-Transplant Lymphoproliferative Disorder Presenting as Cloudy Peritoneal Dialysate, 10.3747/pdi.2017.00027
  49. Viray P., Setyapranata S., Holt S. G., Hodgkin's Lymphoma Diagnosed from Peritoneal Effluent, 10.3747/pdi.2015.00119
  50. Delgado-Cordova, Nefrologia, 34, 686 (2014)
  51. Bargman J.M., Zent R., Ellis P., Auger M., Wilson S., Diagnosis of Lymphoma in a Continuous Ambulatory Peritoneal Dialysis Patient by Peritoneal Fluid Cytology, 10.1016/s0272-6386(12)70289-5
  52. Talwar M., Self S. E., Ullian M. E., Prostate Cancer Metastatic to the Peritoneum in a Peritoneal Dialysis Patient, 10.3747/pdi.2011.00281
  53. Dobbie, Perit Dial Int, 13, 256 (1993)
  54. Braun Niko, Fritz Peter, Ulmer Christoph, Latus Joerg, Kimmel Martin, Biegger Dagmar, Ott German, Reimold Fabian, Thon Klaus-Peter, Dippon Juergen, Segerer Stephan, Alscher M. Dominik, Histological Criteria for Encapsulating Peritoneal Sclerosis – A Standardized Approach, 10.1371/journal.pone.0048647
  55. Vanderperren B., Poor ultrafiltration shortly after peritoneal dialysis initiation, 10.1093/ndt/17.12.2265
  56. Gries, Haemostasis, 19, 21 (1989)
  57. Voinescu C.G., Khanna R., Peritonitis in Peritoneal Dialysis, 10.1177/039139880202500402
  58. Kjeldsberg, Body Fluids: Laboratory Examination of Cerebrospinal, Seminal, Serous and Synovial Fluids (1993)
  59. Unger, Surgery, 93, 455 (1983)
  60. Poux, Nephrologie, 15, 201 (1994)
  61. Gupta, Lymphology, 47, 106 (2014)
  62. Huang Ching-Huai, Chen Huan-Sheng, Chen Yung-Ming, Tsai Tun-Jun, Fibroadhesive Form of Tuberculous Peritonitis: Chyloperitoneum in a Patient Undergoing Automated Peritoneal Dialysis, 10.1159/000188969
  63. Palumbo, Acta Biomed, 79, 106 (2008)
  64. Garcia, Adv Perit Dial, 10, 206 (1994)
  65. Hurley, Am J Gastroenterol, 84, 1567 (1989)
  66. Riza, Neth J Med, 62, 59 (2004)
  67. Rector, J Clin Gastroenterol, 6, 369 (1984)
  68. Al-Busafi, ISRN Hepatol, 2014, 240473 (2014)
  69. Yoshimoto, Clin Nephrol, 50, 90 (1998)
  70. Yang, Perit Dial Int, 28, 632 (2008)
  71. Ram R., Swarnalatha G., Pai B. S., Rao C. S. S., Dakshinamurty K. V., Cloudy Peritoneal Fluid Attributable to Non-Dihydropyridine Calcium Channel Blocker, 10.3747/pdi.2010.00277
  72. Saka Y., Tachi H., Sakurai H., Tawada M., Sawai A., Shimamura Y., Mizuno M., Maruyama S., Matsuo S., Ito Y., Aliskiren-Induced Chyloperitoneum in a Patient on Peritoneal Dialysis, 10.3747/pdi.2011.00049
  73. Fontán Miguel Pérez, Pombo Francisco, Soto Antonio, Pérez Fontán Francisco J., Rodriguez-Carmona Ana, Chylous Ascites Associated with Acute Pancreatitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis, 10.1159/000187252
  74. Lee, J Rheumatol, 29, 1330 (2002)
  75. Lindenbaum John, Scheidt Stephen S., Chylous ascites and the nephrotic syndrome Report of a case, associated with renal vein thrombosis, 10.1016/0002-9343(68)90262-3
  76. Sujan, Perit Dial Int, 29, 582 (2009)
  77. Cappell, Am J Gastroenterol, 88, 99 (1993)
  78. Gilkeson Gary S., Allen Nancy B., RETROPERITONEAL FIBROSIS, 10.1016/s0889-857x(05)70260-x
  79. Isenberg, Gastroenterology, 60, 305 (1971)
  80. Soylu Alper, Alaygut Demet, Yeşilırmak Didem, Kasap Belde, Türkmen Mehmet, Duman Nuray, Kavukçu Salih, Resolution of chyloperitoneum in a preterm with octreotide, diet and cessation of dialysis, 10.1007/s00467-009-1340-5
  81. LEE PEI-HSIEN, LIN CHUN-LIANG, LAI PING-CHIN, YANG CHIH-WEI, Octreotide therapy for chylous ascites in a chronic dialysis patient, 10.1111/j.1440-1797.2005.00427.x
  82. Hu S. L., Kerns E. S., Peach-Colored Effluent in an Urgent-Start PD Patient, 10.3747/pdi.2015.00131
  83. Chao Chia-Ter, Huang Jenq-Wen, Asymptomatic Green Dialysate, 10.1097/maj.0b013e31823f3378
  84. Babin Jacinthe, Langlois Serge, Friede Juan, Guay Gérald, Agharazii Mohsen, Green dialysate: asymptomatic perforated cholecystitis without peritonitis, 10.1093/ndt/gfk099
  85. Connacher, Nephrol Dial Transplant, 2, 45 (1987)
  86. Ling Eng-Kian, Lin Bing-Shi, Chiang Shou-Shan, Tsai Ming-Hsien, Cola-Colored Dialysate as a Gastrointestinal Sequelae of Cardiac Surgery in a Patient Who Underwent Peritoneal Dialysis, 10.3109/0886022x.2012.711731
  87. Lai M.-Y., Yang W.-C., Chen J.-Y., Lin C.-C., Ng Y.-Y., Hemoperitoneum in a woman with acute paraplegia, 10.1038/sj.ki.5000242
  88. Shiao, NDT Plus, 4, 75 (2011)
  89. De, Case Rep Nephrol, 2015, 761393 (2015)
  90. Robertson, Perit Dial Int, 21, 621 (2001)
  91. Sekercioglu, Perit Dial Int, 24, 197 (2004)
  92. Abrahams A. C., Rutherford P., Boer W. H., Purple Icodextrin: Turkish Delight?, 10.3747/pdi.2012.00171
Bibliographic reference Dossin, Thomas ; Goffin, Eric. When the color of peritoneal dialysis effluent can be used as a diagnostic tool. In: Seminars in Dialysis, Vol. 32, no. 1, p. 72-79 (2019)
Permanent URL http://hdl.handle.net/2078.1/202513