Haemoperitoneum post colonoscopy in a continuous ambulatory peritoneal dialysis patient.
We present the case of a patient on peritoneal dialysis (PD) who had an uneventful oesophagogastroduodenoscopy and colonoscopy. His peritoneal dialysis after colonoscopy had bright red peritoneal dialysate. The patient was completely asymptomatic and a CT scan was performed which did not reveal any retroperitoneal haematoma and showed no signs of perforation or splenic tear. His PD dialysate cleared up with time. We do not find any such case in the literature in which a patient has had haemoperitoneum after a colonoscopy without any obvious cause to account for it. Our patient was unique due to his CAPD in combination with his immunosuppression for his kidney transplant which may have predisposed him to the intraperitoneal bleed after colonoscopy or it may just have been a normal phenomenon after colonoscopy. More studies need to be done as the realisation of its pathology can prevent unnecessary testing and avoid patient and healthcare worker's anxiety.
['Luni|Faraz Khan|FK|', 'Bawany|Muhammad Zohaib|MZ|', 'Khan|Abdur Rahman|AR|', 'Nawras|Ali|A|', 'Vetteth|Sandeep|S|']
D003113:Colonoscopy D003937:Diagnosis, Differential D006465:Hemoperitoneum D006801:Humans D007676:Kidney Failure, Chronic D008297:Male D010531:Peritoneal Dialysis, Continuous Ambulatory D010538:Peritonitis D014057:Tomography, X-Ray Computed
Haemoperitoneum Colonoscopy Peritoneal dialysis Immunosuppression Complications