06 October 2020>: Articles
Peritoneal Dialysis in a Patient with Acute Kidney Injury, Thrombocytopenia, Urosepsis, and Liver Cirrhosis: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology
Krzysztof Cieszyński A , Alicja E. Grzegorzewska A*DOI: 10.12659/AJCR.926226
Am J Case Rep 2020; 21:e926226
Table 2. Evidence of PD for AKI treatment in chronic liver disease.
Description of chronic liver disease | Causes of AKI | Reasons of PD choice for AKI treatment | Type of PD | Reference number |
---|---|---|---|---|
Alcoholic cirrhosis, bleeding esophageal varices, hepatic coma | Hepatorenal syndrome type 1 | A clinical PD evaluation | Intermittent | []15 |
Cirrhosis Fulminant hepatic failure Extrahepatic biliary obstruction | Gastrointestinal hemorrhage Pneumonia Laparotomy Septicemia Gastrointestinal hemorrhage Acute tubular necrosis caused by prolonged or severe hypotension due to hemorrhage, the hepatic artery and portal vein clamping or cardiomyopathy-related cardiac failure | Evidence for recent bleeding, systolic pressure less than 100 mmHg. If there were no specific indications for PD or HD, then PD was generally used | Intermittent | []16 |
Alcoholic cirrhosis, ascites, hepatorenal syndrome type 1 | Hypotension with severe anemia due intestinal bleeding | Hemodynamic instability | Continuous-flow | []17 |
Chronic active hepatitis C with nodular changes and mild activity | Acute tubular necrosis following interferon-based therapy | Ascites removal | Four exchanges throughout the day (CAPD equivalent) | []18 |
AKI – acute kidney injury; CAPD – continuous ambulatory peritoneal dialysis; HD – hemodialysis; PD – peritoneal dialysis. |