Peritoneoscopic Reinsertion of a Peritoneal Dialysis Catheter After Fungal Peritonitis: the Advantage of Visual Information

摘要

Peritoneal dialysis (PD) catheter removal has been widely considered an absolute indication with fungal peritonitis (1). However, nephrologists might face a dilemma when a patient who has experienced fungal peritonitis expresses the wish to resume PD. There are few studies of technique survival after PD catheter reinsertion following severe peritonitis (2,3). The final decision should be individualized and based on medical and personal considerations, as solid data regarding this issue are still missing. Recently, Perez Fontan and RodriguezCarmona suggested that, optimally, PD catheter reinsertion should be attempted using an open or laparoscopic technique in order to prevent complications and to obtain visual information on the status of the peritoneal cavity (4). We describe a case of successful reinitiation of PD after peritoneoscopic reinsertion of a PD catheter following fungal peritonitis.