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- W2038137571 abstract "To the Editor: A 46-year-old woman treated with peritoneal dialysis (PD) for end-stage diabetic nephropathy for 15 months presented with blood-tinged peritoneal effluent. She had undergone abdominal total hysterectomy and right salpingectomy for uterine myoma and adenomyosis 3 years previously. Since the fourth month of PD therapy, she experienced 3 episodes of painless hemoperitoneum, which resolved after rapid peritoneal flushes. At the fourth presentation, blood tests showed a hemoglobin level of 10.1 g/dL (101 g/L), platelet count of 203 10/ L (203 10/L), leukocyte count of 7.85 10/ L (7.85 10/L), CA-125 level of 6.99 (reference range, 0-35) kU/L, and a coagulation profile within the reference range. A non–contrastenhanced computed tomographic scan showed the tip of Tenckhoff catheter puncturing the right ovary, indicating catheterassociated ovarian damage as the cause of bleeding (Fig 1). Laparoscopy further revealed erosion and puncture of a hemorrhagic ovarian cyst by the catheter tip. Because of persistent bleeding, a right-side oophorectomy was performed; pathologic analysis established the diagnosis of ruptured corpus luteal cyst. The patient resumed peritoneal exchanges 3 days after the surgery and remained asymptomatic thereafter. Hemoperitoneum is an infrequent event occurring in 6.1%-8.4% of PD patients, with a mainly benign clinical course. The most common cause in women is retrograde menstruation, but is unknown in men. However, hemoperitoneum arising from ovarian erosion caused by a Tenckhoff catheter is rarely reported. Most hemoperitoneum episodes can be assessed by taking a standard history and may be resolved with rapid peritoneal flushes, whereas specific investigations are warranted for the remaining 20% of patients with persistent symptoms." @default.
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- W2038137571 date "2011-11-01" @default.
- W2038137571 modified "2023-09-25" @default.
- W2038137571 title "Hemoperitoneum Due to Tenckhoff Catheter–Caused Luteal Cyst Rupture" @default.
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- W2038137571 doi "https://doi.org/10.1053/j.ajkd.2011.08.017" @default.
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