Ekart et al. Journal of Medical Case Reports 2012, 6:309 http://www.jmedicalcasereports.com/content/6/1/309 Competing interests The authors declare that they have no competing interests. Authors’ contributions RE, MH, MK, BPB and SB were the treating physicians of the patient reported. The manuscript was prepared by RE and RH. All authors read and approved the final version. Author details 1Department of Dialysis; Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, Maribor SI 2000, Slovenia. 2Department of Abdominal Surgery; Clinic for Surgery, University Medical Centre Maribor, Ljubljanska 5, Maribor SI 2000, Slovenia. 3Department of Nephrology; Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska 5, Maribor SI 2000, Slovenia. Received: 22 February 2012 Accepted: 11 August 2012 Published: 18 September 2012 References 1. Carmeci C, Muldowney W, Mazbar SA, Bloom R: Emergency laparotomy in patients on continuous ambulatory peritoneal dialysis. Am Surg 2001, 67:615–618. 2. Wellington JL, Kelly R: Acute abdominal emergencies in patients on long- term ambulatory peritoneal dialysis. Can J Surg 1993, 36:522–524. 3. Yang CY, Chuang CL, Shen SH, Chen TW, Yang WC, Chen JY: Appendicitis in a CAPD patient: a diagnostic challenge. Perit Dial Int 2007, 27:591–593. 4. Yehia M, de Zoysa JR, Collins JF: Is computerized tomography useful in identifying abdominal catastrophes in patients presenting with peritonitis? Perit Dial Int 2008, 28:385–390. 5. Mihout F, de Lessoré SainteFoy C, Vrigneaud L, Wallet F, Pagniez D, Boulanger E: An uncommon case of peritonitis: appendicitis should not be overlooked. Perit Dial Int 2007, 27:309–310. 6. Shrestha BM, Brown P, Wilkie M: Surgical peritonitis on peritoneal dialysis. Perit Dial Int 2008, 28:331–334. 7. Wesseling KM, Pierik RGJM, Offerman JJG: Laparoscopic therapy in a CAPD patient with perforated appendicitis without removal of the peritoneal catheter. Nephrol Dial Transplant 2003, 18:1929–1930. 8. Pessegueiro P, Amoedo M, Barros S, Aniceto J, Pires C: Aseptic peritonitis in a peritoneal dialysis patient. Nefrologia 2006, 26:493–496. 9. Miller GV, Bhandarl S, Brownjohn AM, Turney JH, Benson EA: ‘Surgical’ peritonitis in the CAPD patient. Ann R Coll Surg Engl 1998, 80:36–39. 10. Beasley SW, Meech PR, Neale TJ, Hatfield PJ, Morrison RBI: Continuous ambulatory peritoneal dialysis and acute appendicitis. N Z Med J 1986, 99:145–146. 11. Vogt K, Hess B, Baumgartner D, Maass D, Keusch G, Binswanger U: Appendicitis perforata in CAPD patients: report of two cases. Periton Dial Int 1985, 5:237–240. doi:10.1186/1752-1947-6-309 Cite this article as: Ekart et al.: Gangrenous appendicitis presenting as acute abdominal pain in a patient on automated peritoneal dialysis: a case report. Journal of Medical Case Reports 2012 6:309. Page 4 of 4 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit