Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Clin Exp Nephrol. 2011 Dec;15(6):962-5. doi: 10.1007/s10157-011-0529-7. Epub 2011 Sep 1.
We report a case of peritonitis resulting from colon perforation caused by ingestion of a rare foreign body in a patient on peritoneal dialysis (PD). A 72-year-old woman on PD was hospitalized with abdominal pain and cloudy PD fluid (PDF). Although conventional antibiotic therapy was started because of a diagnosis of infectious peritonitis, low-grade fever, abdominal pain and a high number of white blood cells in PDF persisted. On day 3, anaerobic bacteria were recognized on bacterial culture of PDF, suggesting a gastrointestinal etiology. During exploratory laparotomy, sigmoidal perforation by a piece of bamboo, probably resulting from ingestion of contaminated food, was found.
我们报告了一例腹膜透析（PD）患者因吞食罕见异物导致结肠穿孔引起的腹膜炎。一名 72 岁女性 PD 患者因腹痛和混浊的 PD 液（PDF）住院。尽管由于感染性腹膜炎的诊断开始了常规抗生素治疗，但 PDF 中仍持续存在低热、腹痛和白细胞数量高。第 3 天，PDF 的细菌培养中发现了厌氧菌，提示胃肠道病因。在剖腹探查术中，发现乙状结肠穿孔，可能是由食用污染食物引起的。
