Locally improvised acute peritoneal dialysis using nasogastric tube and fluids in a resource-limited setting in southern Nigeria: a case report

Abstract

Acute gastroenteritis remains a major reason for consults to the emergency room and can be complicated with electrolyte derangements, sepsis and acute kidney injury. We present a 24-month-old boy who had acute gastroenteritis with sepsis and who developed oliguric acute kidney injury. He had improvised acute peritoneal dialysis (PD) done using a nasogastric feeding tube and peritoneal dialysis fluids (Ringers Lactate and Dextrose intravenous fluids). He had 18 sessions of PD for 4 days with complete recovery of renal functions and discharged after 11 days. Children with gastroenteritis and sepsis that develop acute kidney injury should be offered improvised PD in resource-limited settings, as illustrated in this case report.