Review Article

Noninfectious Complications of Peritoneal Dialysis

Authors: Tapasi C. Saha, MD, Harmeet Singh, MD

Abstract

Peritoneal dialysis is an established form of renal replacement therapy. With its increasing popularity, we are now encountering a variety of complications. Noninfectious complications are usually less common as compared with infectious complications. In this review, we discuss some of the common noninfectious complications of peritoneal dialysis such as hernias, hydrothorax, hemoperitoneum, pancreatitis, ischemic colitis and necrotizing enterocolitis, pneumoperitoneum, GERD, subcapsular steatosis and hypokalemia. The awareness of these complications will help in early diagnosis and treatment.


Key Points


* Since noninfectious complications are much less common than infectious complications, diagnosis might be delayed due to lack of awareness.


* Hernias can present as a painless swelling or a tender lump.


* Hydrothorax commonly presents on the right side.


* Hemoperitoneum is a common benign finding in menstruating females.


* Hypokalemia is the most common electrolyte abnormality seen in peritoneal dialysis patients.

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