Late Peritoneal Dialysis Exit-Site Leak: A Case Report.

Peritoneal dialysis Peritoneal dialysis catheter Peritoneal dialysis exit site leak

Journal

Kidney medicine
ISSN: 2590-0595
Titre abrégé: Kidney Med
Pays: United States
ID NLM: 101756300

Informations de publication

Date de publication:
Jul 2023
Historique:
medline: 9 6 2023
pubmed: 9 6 2023
entrez: 9 6 2023
Statut: epublish

Résumé

Peritoneal dialysis (PD) pericatheter exit-site leaks most commonly occur early, within 30 days of catheter insertion. Late exit-site leaks are rare. The distinction between early and late exit-site leaks is important because the causes and subsequent management strategies may be different. Early leaks can often be first treated by delaying or holding PD therapy, allowing the prolongation of the healing time because fibrous tissue continues to form around the deep cuff. Late leaks are less likely to heal with cessation of PD alone and often require PD catheter replacement. In this case report, we provide an overview of the diagnosis and management of PD catheter exit-site leaks while highlighting a case of a late presenting exit-site leak resulting from a unique cause of PD catheter trauma.

Identifiants

pubmed: 37293387
doi: 10.1016/j.xkme.2023.100647
pii: S2590-0595(23)00057-2
pmc: PMC10245101
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100647

Informations de copyright

© 2023 The Authors.

Références

EDTNA ERCA J. 2002 Oct-Dec;28(4):170-2
pubmed: 12638930
Int J Artif Organs. 2006 Jan;29(1):142-52
pubmed: 16485250
Adv Perit Dial. 1990;6:64-71
pubmed: 1982843
Perit Dial Int. 2012 May-Jun;32(3):360-1
pubmed: 22641745
Perit Dial Int. 2019 Sep-Oct;39(5):414-436
pubmed: 31028108
Nephrol Dial Transplant. 1991;6(9):670-1
pubmed: 1745393

Auteurs

Laura Horowitz (L)

Division of Nephrology, St. Michael's Hospital, Unity Health, University of Toronto, Ontario, Canada.

Justin Ashley (J)

Division of Nephrology, St. Michael's Hospital, Unity Health, University of Toronto, Ontario, Canada.

Michael Brassil (M)

Consultant for Interventional Radiologist, Tallaght University Hospital, Dublin, Ireland.

Danny Marcuzzi (D)

Division of Interventional Radiology, St. Michael's Hospital, Unity Health, University of Toronto, Ontario, Canada.

Jeffrey Perl (J)

Division of Nephrology, St. Michael's Hospital, Unity Health, University of Toronto, Ontario, Canada.

Classifications MeSH