Ureteral obstructive nephropathy due to compression by intrinsic endometriosis of the ovary

Luisa Bono, Bono L, Li Cavoli G, Gioacchino Li Cavoli, Giammarresi C, Carlo Giammarresi, Turdo R, Rosa Anna Turdo, Rosa Turdo, TancrediVincenzo Li Cavoli, Li Cavoli TV, Tancredi Vincenzo Li Cavoli, Barbara Oliva, Bárbara Oliva, Oliva B, Flavia Caputo, Caputo F
Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia · 2018 · vol. 29(4) , pp. 1010 · doi:10.4103/1319-2442.239665 · PMID:30152447 · W2888671438
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This paper reports that peritoneal dialysis is feasible for selected patients with end-stage renal disease, chronic liver disease, and ascites, though findings do not establish safety or effectiveness.

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This prospective observational study evaluated the feasibility and clinical outcomes of peritoneal dialysis in patients with end-stage renal disease complicated by chronic liver disease and ascites. The research included 51 selected patients with these comorbidities alongside a control group of 55 patients without liver disease, all of whom underwent automated peritoneal dialysis at a tertiary hospital in Saudi Arabia. Results indicated that catheter insertion was successful without major complications, although peritonitis rates were comparable between groups, and the authors noted that findings should not be interpreted as establishing safety or superiority. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Objectives

Patients with chronic liver disease (CLD) complicated by ascites may develop end-stage renal disease (ESRD), making selection of renal replacement therapy challenging. This study described the feasibility and clinical outcomes of peritoneal dialysis (PD) in selected patients with ESRD, CLD, and ascites. Patients and Methods: This prospective observational study included 51 selected patients with ESRD, CLD, and ascites and 55 patients with ESRD without CLD who underwent PD at a tertiary university hospital in Saudi Arabia. All underwent percutaneous insertion of a three-cuff PD catheter and received automated peritoneal dialysis (APD). Clinical outcomes recorded during observed follow-up are presented descriptively.

Results

Percutaneous catheter insertion was successful in all patients without bowel perforation, catheter migration, or major hemorrhage. Thirteen peritonitis episodes were recorded in the CLD group and 12 in the non-CLD group. The overall peritonitis rate was 0.10 episodes per patient-year; group-specific rates were 0.11 and 0.09 episodes per patient-year, respectively. None required catheter removal. A transient serum albumin decline of at least 0.5 g/dL was recorded in 5 and 4 patients, respectively. Early dialysate leakage occurred in 7/51 and 3/55 patients and was managed by temporary reduction of fill volume. During observed follow-up, 12/51 patients with CLD and 9/55 patients without CLD died.

Conclusions

Peritoneal dialysis was feasible in this selected cohort of patients with ESRD, chronic liver disease, and ascites. The observed adequacy values, complication counts, and crude mortality are reported descriptively. The findings should not be interpreted as establishing safety, effectiveness, equivalence, or superiority.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Ovarian Diseases Ovarian Diseases Ureteral Obstruction Ureteral Obstruction Adult Adult Diagnosis, Differential Diagnosis, Differential Female Female Humans Humans Ovary Ovary Ovary Ovary

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (5)

Source provenance

europepmc
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License: CC0 · commercial use OK