Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report

Many techniques are available for inserting peritoneal dialysis (PD) or continuous ambulatory peritoneal dialysis (CAPD) catheters, with varying possible complications. We report a case of bladder perforation that was managed with catheter salvage. A 48-year-old man with end-stage renal disease (ESR...

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Bibliographic Details
Published in:Clinical nephrology. Case studies 2019-04, Vol.7 (1), p.17-22
Main Authors: Makkena, Vamsikrishna, Bandi, Varun Kumar, Anandkumar, Deepashree G, Yelahanka, Renuka Prasad, Shekar, Manikantan, Elumalai, Ramprasad, Matcha, Jayakumar
Format: Article
Language:English
Subjects:
Bladder
Case Report
Case reports
Catheters
Fistula
Nephrology
Peritoneal dialysis
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Summary:Many techniques are available for inserting peritoneal dialysis (PD) or continuous ambulatory peritoneal dialysis (CAPD) catheters, with varying possible complications. We report a case of bladder perforation that was managed with catheter salvage. A 48-year-old man with end-stage renal disease (ESRD) underwent CAPD catheter placement percutaneously, with tip in the pelvis. On the 3 day after placement, the patient complained of increase in urinary volume with PD flushing. Urine analysis showed 3(+) glucose and absent creatinine. Cystogram showed the catheter abutting the bladder wall. CT of the abdomen showed the catheter piercing the bladder and exiting through the posterior wall. The PD catheter was repositioned under fluoroscopy. The complications surrounding insertion of CAPD catheter can be either mechanical or infectious. Peritoneo-vesical fistula or placement of the PD catheter into the urinary bladder is a very rare complication. The possibility of catheter salvage should be entertained while discussing management options.
ISSN:2196-5293
2196-5293
DOI:10.5414/CNCS109656