| Strangulated Umbilical Hernia Misdiagnosed as CAPD Peritonitis |
| Ban-Suck Lee, M.D.1, Hye Kyung Park, M.D.1 , Hye Won Ju, M.D.1 Won Choi, M.D.1, Sang Hyun Kim, M.D.1, Won Do Park, M.D.1 and Hyun Jung Kim, M.D.2 |
Department of Internal Medicine1 and Pathology2
Sanggye Paik Hospital Inje University College of Medicine, Seoul, Korea |
| 복막 투석 복막염으로 오인된 교액성 제대 탈장 |
| 이반석1 박혜경1 주혜원1 최 원1 김상현1 박원도1 김현정2 |
| 인제대학교 의과대학 상계백병원 내과학교실1, 진단병리과2 |
|
|
| Abstract |
|
Abdominal wall hernias are a common problem in patients treated with continuous peritoneal dialysis. Although most patients with abdominal wall hernia are asymptomatic, some patients may present with abdominal pain or, if the hernia is incarcerated or strangulated, with signs and symptoms of peritonitis. It is often difficult to differentiate abdominal catastrophe such as peritonitis secondary to strangulated hernia from CAPD peritonitis. Because their clinical manifestations are similar, several biochemical markers including amylase and lactic acid have been recently used as an indicator of abdominal catastrophe. We report a case of strangulated umbilical hernia with perforation misdiagnosed as CAPD peritonitis. The patient was operated 36 hours after the first inspection but expired due to overwhelming sepsis, 257 days after the admission to hospital. |
| Key Words:
CAPD, Intestinal perforation, Hernia |
|
PDF Links
Download Citation
