Abstract
We report an intriguing case of an incidental abdominal pseudocyst in a patient undergoing long-term peritoneal dialysis. Although pseudocysts are rare, they represent a significant complication in peritoneal dialysis patients, often arising secondary to chronic peritoneal inflammation, peritonitis episodes, or catheter-related factors. In this case, the pseudocyst was an incidental finding on imaging, with no immediate symptoms but potential implications for dialysis efficacy and future intra-abdominal complications. The case underscores the importance of vigilant imaging assessment and multidisciplinary management to monitor such lesions and prevent progression to more serious issues, including infection or loss of dialysis access. Recognizing these pseudocysts is critical for optimizing ongoing management and preserving peritoneal dialysis as a feasible treatment modality.