Upcoming Events

  1. Kenya Renal Association 15th Annual Conference – KRACON

    September 25, 2018 - September 29, 2018
  2. HDU for Physicians 2018 – September

    September 30, 2018 - October 2, 2018
  3. ISPD Europe PD University for Surgeons 2018

    October 8, 2018
  4. HDU for Physicians 2018 – November

    November 4, 2018 - November 6, 2018

PDI Connect

Questions About PD

  1. We had a PD patient whom presented to the Emergency Department with abdominal pain x one week (he never contacted us- Home Dialysis). He subsequently had an appendectomy. His PD catheter is in the lower right quadrant. Our on call Nephrologist requested the PD catheter be removed; the surgeon continues to disagree and wants to save the catheter. The pathology report is below: Gross Description (See result below) Received in formalin labeled "appendix" is a 6.2 x 1.6 x 1.5 cm tubular tan appendix with abundant attached mesoappendix and proximal staple line. The serosa is pink-tan. The lumen is focally dilated to 0.8 cm and contains no fecaliths. The soft tissue immediately adjacent to stapled margin is inked black and representative sections are submitted labeled (A1-A2). Microscopic Description (See result below) Sections show an edematous appendix with acute inflammation on the peritoneal surfaces. No inflammation is present in the appendiceal wall or the mucosa of the appendix . No true appendicitis or perforation is identified. The appearance is consistent with acute peritonitis of unknown cause. Home Dialysis was requested to obtain cell count, cultures and gram stain. Small volume (500 ml) was utilized to obtain these specimens as follows: 9/11: WBC’s 658 (91% neutrophils); no growth in cultures (he has been receiving IV antibiotic since his surgery on 9/9- Zosyn) (1.5% Dialysate used for flush) 9/13: WBC’s 840 (81% neutrophils); on call Nephrologist ordered Vancomycin for today and it was hung around the time I was obtaining specimens today. (Normal Saline used for flush) 9/14 specimen obtained as well but no results so far. We would appreciate any Best Practice Recommendations concerning removal or preservation of this PD catheter.

  2. I have a patient with permacath catheter overgrowth and our surgeon who deals with this issue on long leave, so any advice Thanks

  3. Abdominal surgery + Recommendation for PD catheter removal