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Hemoperitoneum After Cardiopulmonary Resuscitation in Peritoneal Dialysis Patients: A Tale of Two Cases

Authors Goel N, Haddad DB, Jain D

Received 11 October 2020

Accepted for publication 3 December 2020

Published 15 December 2020 Volume 2020:13 Pages 379—383


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Pravin Singhal

Narender Goel,1– 3 Danny B Haddad,1– 3 Deepika Jain1– 3

1New Jersey Kidney Care, Jersey City, NJ, USA; 2Division of Nephrology, CarePoint Health Hospitals, Jersey City, NJ, USA; 3Division of Nephrology, RWJ Barnabas Jersey City Medical Center, Jersey City, NJ, USA

Correspondence: Narender Goel
New Jersey Kidney Care, 26 Greenville Avenue, Jersey City, NJ 07305, USA
Tel +1-201-333-8222
Fax +1-201-333-0095

Abstract: End-stage renal disease (ESRD) patients are at much higher risk of cardiac arrest as compared to the general population. In the event of a cardiac arrest, cardiopulmonary resuscitation (CPR) is a lifesaving procedure. In fact, the need for CPR among hospitalized ESRD patients is almost 20 times higher than the general population. Complications of CPR include thoracic injuries such as flail chest, rib fractures, pneumothorax, and rarely intra-abdominal complications. Hemoperitoneum is a well-recognized complication among peritoneal dialysis patients but as a complication of CPR is rarely described. Inappropriate CPR technique, hepatic ischemia and venous congestion, platelet dysfunction, and the use of anti-platelet agents can increase the risk of such injury and bleeding. Hemoperitoneum in this setting can be serious with significant complications and may require transition from peritoneal dialysis (PD) to hemodialysis. We report two such PD patients who developed hemoperitoneum as a complication after CPR and their course.

Keywords: hemoperitoneum, peritoneal dialysis, cardiac arrest, cardiopulmonary resuscitation

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