A 54-year-old, nondiabetic male who had an ABOi spousal kidney transplant in May 2023 underwent graft nephrectomy elsewhere due to dysfunction. He was initially on hemodialysis (HD) from July 2023 and was switched over to continuous ambulatory peritoneal dialysis (CAPD) in January 2024 due to poor hemodynamic status. He had a Swan neck Tenckhoff catheter (Fig. 1A). He noticed intermittent reddish effluent (Fig. 1B) since March 15, 2024. He denied trauma to the abdomen and was not on anticoagulant or antiplatelet drugs. His complete blood count (CBC) and electrolytes were: Hemoglobin (Hb)-7.8 g/dL, white blood cell (WBC) count-10 × 10