Sudden rupture of an indirect inguinal hernial sac with extravasation in two patients on continuous ambulatory peritoneal dialysis.

Continuous ambulatory peritoneal dialysis (CAPD) is commonly used to treat patients suffering from end-stage renal failure. This method can be used on a long-term basis and in the short term for patients awaiting renal transplantation. Inguinal hernias are a potential source of morbidity for these patients. Therefore, when patients with inguinal hernias require long-term peritoneal dialysis, the hernia should be repaired if the patient's medical status will allow it. The authors report on two patients maintained on CAPD who experienced rapid enlargement and perforation of a previously undiagnosed asymptomatic inguinal hernia. The hernia was repaired successfully, without complication, in both cases.