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 CASE REPORT
Year : 2015  |  Volume : 25  |  Issue : 6  |  Page : 380-382

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


1 Department of Nephrology, SGPGI, Lucknow, Uttar Pradesh, India
2 Department of Nephrology, Yashoda Hospitals, Secunderabad, Telangana, India

Correspondence Address:
U Anandh
Department of Nephrology, Yashoda Hospitals, Alexander Road, Secunderabad - 500 003, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.160332

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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.






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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07