Case report reveals emerald-green peritoneal effluent during acute peritoneal dialysis in severe pancreatitis, indicating pancreatic enzyme leakage requiring urgent evaluation.
Key Points
To describe the presentation and diagnostic implications of vivid emerald-green peritoneal fluid during acute peritoneal dialysis in a patient with severe pancreatitis and multiorgan failure.
Bedside acute peritoneal dialysis was initiated in a 50-year-old man with severe gallstone pancreatitis, multiorgan failure, and oliguric stage 3 acute kidney injury for renal support and peritoneal lavage.
Drained peritoneal effluent was evaluated via microbial cultures and biochemical enzyme assays.
Peritoneal fluid exhibited a vivid emerald-green color with sterile cultures and markedly elevated amylase (11,041 U/L) and lipase (50,750 U/L), confirming inflammatory pancreatic leakage.
Peritoneal dialysis treatment led to declining enzyme concentrations, reduced cell counts, resolution of acidosis, and improved renal function before the patient ultimately died of septic shock.
Cite This Study
Khositrangsikun et al. (2026) studied this question.