Abd Pain in Peritoneal Dialysis: So special?

59 y/o M with hx of ESRD on PD & recurrent pancreatitis of unknown etiology presents with cc of abdominal pain. What diagnosis should you always be considering? How do you assess the peritoneal effluent (diasylate, not ascitic fluid)? What is the best mode of treatment: intraperitoneal or intravenous? Is there an association or increased risk of acute pancreatitis in PD or HD patients?

ISPD Guidelines for Peritoneal Dialysis Associated Infections: 2010 update.

Treatment for peritoneal dialysis associated peritonitis.

Acute Pancreatitis in Patients on Chronic Peritoneal Dialysis: Is there an increased risk?