Laparoscopic-aided diagnosis of recurrent peritonitis in a patient on CAPD.

Though peritonitis is a significant problem in managing patients on continuous ambulatory peritoneal dialysis (CAPD), it is normally readily diagnosed and successfully treated. However, when peritonitis is resistant to standard intraperitoneal antibiotic therapy, an underlying intra-abdominal pathology may be present. Establishing or refuting such a diagnosis can be difficult. We present a CAPD patient with peritonitis in whom laparoscopy enabled the correct diagnosis and treatment to be carried out.