Peritonitis associated with vaginal leakage of dialysis fluid in continuous ambulatory peritoneal dialysis.

This 17-year-old girl had been born with an imperforate anus and rectovaginal fistula, which was treated by a rectal cut-back. Because of recurrent urinary tract infections associated with ureteric reflux and hydronephrosis bilateral ureteric reimplantation and an ileal loop bladder were performed in childhood. She was treated with haemodialysis at 15 years of age because of reduced renal functioti. A year later she received a cadaver transplant' which drained into the ileal loop. At this operation interperitoneal adhesions were present but the Fallopian tubes were normal. She was again treated with haemodialysis six weeks later after a transplant nephrectomy for severe irreversible rejection. Because of problems of vascular access continuous ambulatory peritoneal dialysis was begun in October 1980.