DiaLysate Leaks can be a major problem in patients receiving peritoneal dialysis (PD) therapy. The leak usually comes from the exit site (1). Leakage from the umbilicus is rare, having first been reported in 2006 (2). We now report a continuous ambulatory PD (CAPD) patient with dialysate leakage from the umbilicus occurring in association with omphalitis.A 58-year-old woman had been on CAPD since 2002 for end-stage renal disease secondary to chronic nephritis. In December 2011, this patient presented with a 1-week history of colorless, transparent fluid flowing from her umbilicus. This colorless fluid had a glucose content of 56.9 mmol/L at a time when the woman's plasma glucose was 5.4 mmol/L, a finding that confirmed a dialysate Leak. The leak varied in relation to posture and abdominal pressure.
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