ABDOMINAL INFECTIOUS COMPLICATIONS IN A PATIENT WITH UTERINE NEOPLASM AND CHRONIC KIDNEY DISEASE ON DIALYSIS: EXPERIENCE REPORT
Keywords:
Uterine Neoplasia, Chronic Kidney Disease, Abdominal Infection, Antibiotic Therapy, Multidisciplinary ApproachAbstract
Infectious complications in patients with advanced uterine neoplasia and chronic kidney disease on dialysis constitute a growing challenge for health services, due to the combination of immunosuppression, metabolic changes and therapeutic limitations. The introduction of this study highlights the clinical and care relevance of these cases, especially when they evolve into abdominal infections that are difficult to manage. The main objective was to analyze the complexity of multidisciplinary care in the face of an abdominal infectious condition in a patient with advanced uterine cancer and dependent on dialysis, emphasizing limits, risks and therapeutic requirements. The methodology consisted of an experience report based on clinical analysis, updated literature review and discussion based on the care practices involved in the case. The results showed infectious worsening associated with immunological fragility, difficulty in pharmacological adjustment and the need for integrated interventions for hemodynamic stabilization. The discussion pointed out that clinical management depends on the interaction between specialized teams, continuous monitoring and therapeutic planning aligned with the patient's renal, oncological and infectious conditions. The ethical complexity involved in refusing cancer treatment was also highlighted, reinforcing the importance of clear communication and respect for autonomy. It is concluded that care for patients with this profile requires a multidisciplinary approach, specific protocols, shared decisions and scientific in-depth analysis of safe therapies for dialysis populations, representing a relevant field for future research.
