HDCN Article Review/Hyperlink

Hou CH, Lee CN, Hung KY, Huang CH, Tsai TJ, Chen CY

An unexpected pregnancy causes poor drainage in automated peritoneal dialysis

Nephrol Dial Transplant (Nov) 11:2335-2337 1996

Pregnancy in CAPD patients is discussed on HDCN by Susan Hou in both an Ask the Professor section, and more at length in presentation given at the 1995 Seattle PD Meeting. This paper describes a new presentation of pregnancy in a PD patient; development of PD catheter dysfunction with failure to drain. The pregnancy was discovered, the catheter began to drain, and ultimately, a healthy baby was delivered.

Comment: The message of the paper is to advise PD patients not wanting to conceive to practice contraception, and to suspect pregnancy in a sexually active ESRD patient with unexplained catheter drainage (especially with regard to ordering radiologic studies) (John T. Daugirdas, M.D., University of Illinois at Chicago)