Richter's hernia: an unrecognised complication of chronic ambulatory peritoneal dialysis.

returning to work after a holiday in England he was repatriated severely ill.He had had a progressive dry cough, drowsiness, anorexia, weight loss, and recurring fevers.Examination showed drowsiness and confusion, tachypnoea, tachycardia, and fever of 40°C.Apart from mild oral candidiasis examination showed no abnormality and there was no lymphadenopathy or splenomegaly.He underwent full investigations with negative results apart from a mild y 1980;