Hypertensive emergency in kidney transplant recipient with autosomal dominant polycystic kidney disease

A Rare Complication of Peritoneal Dialysis (PD) Catheter: Perforation of Sigmoid Colon by Migrating Tip of Peritoneal Dialysis Catheter

“…The other 2 cases had similar presentation, with asymptomatic perforation of colon by a dormant catheter and catheter tip protruding through the anus, but they were maintained on immuno-suppression after kidney transplant [ 8 , 9 ]. Immunosuppression, particularly steroids, can mask the signs and symptoms of peritonitis following visceral perforation [ 3 ]. Our patient was not on immunosuppression as he had transplant nephrectomy after failure of the allograft, but he was still asymptomatic.…”

“…PD is the preferred method of renal replacement therapy in children with end-stage renal disease [ 1 ]. Intestinal perforation due to a PD catheter is a rare mechanical complication that usually presents with peritonitis and an acute surgical abdomen [ 2 ]; however, immunosuppression may mask the symptoms of peritonitis after visceral perforation [ 3 ]. We present a case of a non-functional peritoneal dialysis catheter with colon perforation presenting as a foreign body protruding through the anus, with no signs or symptoms of acute abdomen or peritonitis [ 4 ].…”

Colonoscopy as Part of Pre-Transplant Work-Up in Successful Kidney Transplant Candidates: Single-Center Experience and Review of Literature

“…In our study group, 28.2% of all patients and 50% of patients with autosomal dominant polycystic kidney disease (ADPKD) had colon diverticulosis detected during baseline colonoscopy. In the literature, there is a reported correlation between diverticulosis and colonic perforation in patients with ADPKD [ 63 – 65 ].…”