Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report

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Abstract

Background

Intestinal perforation from peritoneal dialysis is rare, but the resulting complications are serious. Some patients do not necessarily have symptoms, and it can be difficult to differentiate their condition from PD-related (peritoneal dialysis-related) peritonitis, which may lead to misdiagnosis. Here we report a peritoneal dialysis patient with intestinal fistula associated with recurrent peritonitis.

Case presentation

A 44-year-old man had been treated for more than 6 years with peritoneal dialysis for chronic kidney disease stage-V. Abdominal computed tomography and electronic colonoscopy revealed an appendiceal fossa with adjacent fistula. The peritoneal dialysis catheter was removed, and the patient recovered with no recurrence of complications.

Conclusion

We report a case of a rare complication of peritoneal dialysis. The intestinal fistula in this patient was mainly caused by recurrent peritonitis and removal of the catheter could control the peritonitis.

Related collections

Most cited references 16

Record: found
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Article: not found

Peritoneal dialysis-related peritonitis: towards improving evidence, practices, and outcomes.

David Johnson, Yeoungjee Cho (2014)

Peritonitis is a common serious complication of peritoneal dialysis that results in considerable morbidity, mortality, and health care costs. It also significantly limits the use of this important dialysis modality. Despite its importance as a patient safety issue, peritonitis practices and outcomes vary markedly and unacceptably among different centers, regions, and countries. This article reviews peritonitis risk factors, diagnosis, treatment, and prevention, particularly focusing on potential drivers of variable practices and outcomes, controversial or unresolved areas, and promising avenues warranting further research. Potential strategies for augmenting the existing limited evidence base and reducing the gap between evidence-based best practice and actual practice also are discussed.

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Record: found
Abstract: found
Article: not found

Peritoneal Dialysis Catheter Insertion.

John Crabtree, Kai-Ming Chow (2017)

The success of peritoneal dialysis as renal-replacement therapy depends on a well-functioning peritoneal catheter. Knowledge of best practices in catheter insertion can minimize the risk of catheter complications that lead to peritoneal dialysis failure. The catheter placement procedure begins with preoperative assessment of the patient to determine the most appropriate catheter type, insertion site, and exit site location. Preoperative preparation of the patient is an instrumental step in facilitating the performance of the procedure, avoiding untoward events, and promoting the desired outcome. Catheter insertion methods include percutaneous needle-guidewire with or without image guidance, open surgical dissection, peritoneoscopic procedure, and surgical laparoscopy. The insertion technique used often depends on the geographic availability of material resources and local provider expertise in placing catheters. Independent of the catheter implantation approach, adherence to a number of universal details is required to ensure the best opportunity for creating a successful long-term peritoneal access. Finally, appropriate postoperative care and catheter break-in enables a smooth transition to dialysis therapy.

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Record: found
Abstract: not found
Article: not found

Delayed bowel perforation in a peritoneal dialysis patient: a case report and literature review.

Rending Wang, Zhimin Chen, Jiaxin Wang … (2014)

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Author and article information

Contributors

Qiuyuan Shao:

ORCID: http://orcid.org/0000-0001-7314-1275

372203051@QQ.com

Journal

Journal ID (nlm-ta): BMC Gastroenterol

Journal ID (iso-abbrev): BMC Gastroenterol

Title: BMC Gastroenterology

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-230X

Publication date (Electronic): 24 May 2020

Publication date PMC-release: 24 May 2020

Publication date Collection: 2020

Volume: 20

Electronic Location Identifier: 157

Affiliations

GRID grid.428392.6, ISNI 0000 0004 1800 1685, Department of Nephrology, , Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, ; Nanjing, Jiangsu Province, 210008 China

Author information

Qiuyuan Shao http://orcid.org/0000-0001-7314-1275

Article

Publisher ID: 1303

DOI: 10.1186/s12876-020-01303-1

PMC ID: 7245831

PubMed ID: 32448191

SO-VID: f5be1f40-97a2-49fd-8d67-3d7c35cf34e6

License:

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