Research Article

Genital oedema in patients treated by continuous ambulatory peritoneal dialysis: an unusual presentation of inguinal hernia.

Br Med J (Clin Res Ed) 1983; 286 doi: https://doi.org/10.1136/bmj.286.6382.1923 (Published 18 June 1983) Cite this as: Br Med J (Clin Res Ed) 1983;286:1923
  1. J C Cooper,
  2. A J Nicholls,
  3. J M Simms,
  4. M M Platts,
  5. C B Brown,
  6. A G Johnson

    Abstract

    Four patients receiving continuous ambulatory peritoneal dialysis presented with scrotal or labial oedema but no detectable cough impulse. Two of the patients later developed clinical evidence of inguinal hernia, and in the other two inguinal hernias were found at operation. These cases suggest that genital oedema occurring in a patient receiving continuous ambulatory peritoneal dialysis is a sign of a small inguinal hernia which may not be detectable clinically.