Vegetable crudités and peritoneal dialysis-associated peritonitis: An unusual case of foreign body PD peritonitis

Peritoneal dialysis-associated peritonitis (peritoneal dialysis (PD) peritonitis) is a common complication of peritoneal dialysis associated with adverse events and mortality. Outcomes are poorer when two or more organisms are isolated in the dialysis effluent culture, known as polymicrobial PD peritonitis, which can be caused by an underlying secondary process, such as gastrointestinal tract pathology and, rarely, a foreign body. Here, we report a case of polymicrobial PD peritonitis due to a vegetable matter foreign body perforating the colon. The patient was conservatively managed with antibiotic treatment and subsequent colonoscopic removal of the foreign body without the need for peritoneal dialysis catheter removal. She continues to remain on peritoneal dialysis 18 months after the PD peritonitis episode.