Background: Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enterocolitis with ileostomy who developed AKI. Peritoneal dialysis was started by a modifying intercostal drain.
Results: Doing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury.
Conclusion: Peritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications.
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