| [ Summary ] |
In comparison to healthy individuals, dialysis patients manifest a higher incidence of acute abdominal symptoms, which may be caused by various conditions such as diverticulitis, perforation of the lower gastrointestinal tract, ischemic colitis, or bowel infarction. Since patients with acute abdomen may have worse prognoses, they require prompt diagnosis and treatment. Contrast-enhanced computed tomography (CT) is a convenient, useful method for the initial diagnosis of acute abdomen. In patients with bowel infarction, ischemic colitis, gastrointestinal perforation, or strangulated intestinal obstructions, emergency surgeries or interventional radiology (IVR) should be performed as soon as possible. In patients with hemodynamic instability or septic shock, continuous renal replacement therapy (CRRT) or endotoxin absorbance therapy should be performed. |