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      Delayed Erosion of Peritoneal Dialysis Catheter Tip into the Small Bowel

      Author(s): , 1 , 1 , 1

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      Publication date (Electronic):

      Publication date (Electronic):

      Journal: Cureus

      Publisher: Cureus

      Keywords: peritoneal dialysis, catheter tip erosion

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          Abstract

          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.

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          Guidelines for laparoscopic peritoneal dialysis access surgery.

           Stephen Haggerty,  J Roth,  Danielle R Walsh … (2014)
          Article 0 comments Cited 8 times – based on 0 reviews     Review now
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            Non-infectious complications of continuous ambulatory peritoneal dialysis and their impact on technique survival

             J Prakash,  L. K. Sharatchandra Singh,  S. Shreeniwas … (2011)
            Data on non-infectious complications of continuous ambulatory peritoneal dialysis (CAPD) are sparingly reported from different centres of the country. We studied the non-infectious complications in patients of end stage-renal disease (ESRD) undergoing CAPD. Double-cuffed straight catheter was inserted in all patients using the surgical method and CAPD was started on the 15th day of catheter insertion. The nature of non-infectious complications was noted during follow-up in these patients. Forty-five (male 31, female 14) patients with the mean age of 54.5±11.6 years were studied. Diabetic nephropathy was the most common (59.5%) cause of ESRD. Overall, non-infectious complications were noted in 18/45 (40%) cases. Ultrafiltration failure was the most common (15.5%) followed by incisional hernia (6.6%), exit site leak (4.4%), hydrothorax (4.4%), catheter malposition (4.4%), scrotal swelling (2.2%) and hemoperitoneum (2.2%). Patients with ultrafiltration failure were either shifted to hemodialysis or underwent renal transplantation. The remaining (62%) non-infectious complications did not affect the catheter survival and CAPD could be continued. Non-infectious complications occurred in 40% of our CAPD patients and ultrafiltration failure was the most common (15.5%). A majority (62%) of the complications did not affect catheter survival.
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              Dry cough in a CAPD patient.

               Doreen Reimann,  Kay Herbrig,  Peter Gross … (2003)
              Article 0 comments Cited 6 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Cureus
                Journal ID (iso-abbrev): Cureus
                Journal ID (issn): 2168-8184
                Title: Cureus
                Publisher: Cureus (Palo Alto (CA) )
                ISSN (Electronic): 2168-8184
                Publication date (Electronic): 5 October 2020
                Publication date (Electronic): October 2020
                Volume: 12
                Issue: 10
                Affiliations
                [1 ] Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, USA
                Author notes
                Article
                DOI: 10.7759/cureus.10806
                PMC ID: 7641489
                Copyright statement: Copyright © 2020, Cheng et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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                Subject: General Surgery
                Subject: Nephrology

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                Keywords: catheter tip erosion, peritoneal dialysis

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