# Acute Peritoneal Dialysis in a Patient with Severe Uremic Syndrome and Multiple Hemodialysis Access Failure

## TL;DR

A patient with severe kidney failure and no dialysis access was successfully treated with peritoneal dialysis.

## Contribution

Demonstrates acute peritoneal dialysis as a viable emergency option when hemodialysis access is unavailable.

## Key findings

- Acute peritoneal dialysis provided an adequate response in a patient needing emergency dialysis.
- The patient transitioned to continuous ambulatory peritoneal dialysis and showed a good response.

## Abstract

A 67-year-old woman was diagnosed with chronic kidney disease stage V, severe uremia syndrome, hyperkalemia, metabolic acidosis, suspected pulmonary oedema, and multiple hemodialysis access failure. The patient is in a condition that requires emergency hemodialysis, but the patient does not have any access to undergo hemodialysis. The patient then underwent acute peritoneal dialysis and received an adequate response. The patient continued continuous ambulatory peritoneal dialysis and responded well.