Recurrent acute pancreatitis in a patient on peritoneal dialysis using 7.5% icodextrin

摘要

Although more frequent among peritoneal dialysis (PD) recipients (1,2), acute pancreatitis (AP) is in gen-eralan infrequentinflammatory condition in the dialysis population. Diagnosis can be challenging in patients on PD in view of the broad differential diagnosis for a presentation of abdominal pain and the difficulties of biochemicaL testing in uremic patients secondary to impaired pancreatic enzyme clearance (3). Furthermore, use of the glucose polymericodextrin interferes with the serum amylase assay, resulting in falsely low amylase levels (4,5). Here, we present a case of recurrent pancreatitis in a patient on PD using icodextrin.