Peritoneal Dialysis and Cholecystectomy: An Experience with a Patient Complicated by Symptomatic Gallstone Disease

Peritoneal dialysis (PD) is an accepted renal replacement option for managing end-stage kidney disease (ESKD). However, various surgical interventions during the pre-dialytic period that disturb the integrity of the abdominal cavity boundaries may disrupt its prompt indication. A 70-year-old man with ESKD who was waiting to start the procedure after a PD catheter was embedded in his abdomen was complicated by acute cholecystitis. Despite the need to defer its initiation, PD was successfully started after traditional open cholecystectomy. Several management concerns relevant to this disease condition are also discussed.

Keywords: peritoneal dialysis, Moncrief-Popovich catheter technique, surgical intervention, cholecystectomy, symptomatic gallstone diseases.