Premium
A Case Report of a Diabetic Nephropathy Patient With Cirrhotic Ascites Treated by Peritoneal Dialysis
Author(s) -
Nagai Takashi,
Imamura Makoto,
Kobayashi Daishiro,
Mori Masatomo
Publication year - 2007
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/j.1744-9987.2007.00464.x
Subject(s) - medicine , ascites , creatinine , uremia , continuous ambulatory peritoneal dialysis , cirrhosis , blood urea nitrogen , peritoneal dialysis , renal function , diabetic nephropathy , liver function , dialysis , gastroenterology , peritonitis , edema , urology , diabetes mellitus , endocrinology
A 64‐year‐old man was admitted because of abdominal fullness, edema and anorexia. He had come to our hospital for treatment of liver cirrhosis and diabetic nephropathy for 1 year. We started diuretics and human albumin intravenous administration. Although the edema disappeared and abdominal fullness improved a little, blood urea nitrogen (BUN) and serum creatinine became elevated, hepatic function deteriorated and he lost his appetite. We consequently started continuous ambulatory peritoneal dialysis (CAPD) in order to control ascites and uremia. Abdominal fullness, appetite and BUN and serum creatinine improved without hepatic function deterioration. It might be important to start CAPD to control ascites although serum creatinine levels might be slightly elevated.