WCN25-4137 UNUSUAL COMPLICATION IN A PATIENT OF CAPD: A CASE REPORT

BACKGROUND: Hemoperitoneum in CAPD patients is a known but infrequent complication, the most common cause being trauma. It may occur in women due to gynecological causes such a follicular cyst bleeding, menstrual reflux, ovulation and endometriosis. Intraperitoneal causes include rupture of hepatic/splenic cyst, catheter or abdominal trauma and vascular anomalies. However, hemoperitoneum from a retroperitoneal source is extremely rare, especially with cyst rupture in patients with ADPKD. In the two prior reported cases of retroperitoneal hemorrhage leading to bloody effluent, one case had intracystic hematoma and the other case had cystic rupture with perirenal hematoma.