Delayed Erosion of Peritoneal Dialysis Catheter Tip into the Small Bowel.
catheter tip erosion
peritoneal dialysis
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
05 Oct 2020
05 Oct 2020
Historique:
entrez:
9
11
2020
pubmed:
10
11
2020
medline:
10
11
2020
Statut:
epublish
Résumé
Catheter erosion into the small bowel is an uncommonly reported complication of continuous ambulatory peritoneal dialysis (CAPD). This can result in peritonitis, sepsis, fistula formation, and mortality. We report a 29-year-old female with end-stage renal disease presenting with nausea, profuse diarrhea immediately after dialysate instillation, change in color and odor of the dialysis output, and pain at the site of her peritoneal dialysis (PD) catheter. After a thorough evaluation, catheter tip erosion into the patient's small bowel lumen was diagnosed. This was confirmed when a blue bowel movement followed instillation of a saline solution with methylene blue into the dialysis catheter. A laparoscopic-assisted procedure was performed with removal of the dialysis catheter, resection of the diseased small bowel, and insertion of a right internal jugular tunneled dialysis catheter. Small bowel biopsy was benign. Post-operatively, the patient had no complications, was started on hemodialysis, and was discharged home.
Identifiants
pubmed: 33163310
doi: 10.7759/cureus.10806
pmc: PMC7641489
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e10806Informations de copyright
Copyright © 2020, Cheng et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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