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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 diseaseCauses of AKIReasons of PD choice for AKI treatmentType of PDReference number
Alcoholic cirrhosis, bleeding esophageal varices, hepatic comaHepatorenal syndrome type 1A clinical PD evaluationIntermittent[]15
Cirrhosis Fulminant hepatic failure Extrahepatic biliary obstructionGastrointestinal 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 failureEvidence for recent bleeding, systolic pressure less than 100 mmHg. If there were no specific indications for PD or HD, then PD was generally usedIntermittent[]16
Alcoholic cirrhosis, ascites, hepatorenal syndrome type 1Hypotension with severe anemia due intestinal bleedingHemodynamic instabilityContinuous-flow[]17
Chronic active hepatitis C with nodular changes and mild activityAcute tubular necrosis following interferon-based therapyAscites removalFour exchanges throughout the day (CAPD equivalent)[]18
AKI – acute kidney injury; CAPD – continuous ambulatory peritoneal dialysis; HD – hemodialysis; PD – peritoneal dialysis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923