SYMPTOMATIC PERITONEAL CALCIFICATION IN A CHILD - TREATMENT WITH TIDAL PERITONEAL-DIALYSIS

Objective: To evaluate the ability of tidal peritoneal dialysis to dec rease the pain and frequency of hemoperitoneum associated with periton eal calcification. Design: Prospective case evaluation. Setting: The H ome Peritoneal Dialysis Unit, Children's Mercy Hospital. Patient Seven -year-old male with diffuse peritoneal calcifications, daily abdominal pain, and recurrent hemoperitoneum. Intervention: Tidal peritoneal di alysis was conducted with an initial fill volume of 45 mL/kg and a tid al inflow volume of 23 mL/kg. The patient also maintained a daytime pa ss volume of 45 mL/kg. Duration of treatment was 7 months. Results:The patient's abdominal pain resolved 2 days after initiating tidal perit oneal dialysis. No episodes of hemoperitoneum or abdominal pain have o ccurred for 7 months. Conclusion: Tidal peritoneal dialysis is a uniqu e approach to the achievement of symptomatic relief in the patient wit h peritoneal calcification.