Intestinal Perforation Secondary to Peritoneal Dialysis Catheter; An Uncommon Complication

Abstract

Introduction: One of the rare complications of peritoneal dialysis catheter placement is intestinal perforation, often with a late presentation. Clinical case:The case of a 28-year-old female with a history of placement of a Tenckhoff catheter in March 2019 is presented. She came to the emergency service in June 2020 for referring a catheter discharge by anal region.Conclusions: Due to the low incidence of this complication, there is no standard management. In general, removal of the catheter with primary closure of the defect appears to be the best alternative.

Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation

“…The site of perforation can affect the whole intestine, and the sigmoid colon is the most common perforation site reported. 2 In addition, the small intestine, rectum, and other parts are relatively rare, and there are few cases reported in the past 3 . The clinical manifestations of delayed perforation were different, including peritonitis, watery diarrhea, poor drainage, catheter prolapse from the anus, etc.…”

“…Up to now, the occurrence of catheter‐related delayed intestinal perforation is still very rare, and only about 40 cases have been reported. The site of perforation can affect the whole intestine, and the sigmoid colon is the most common perforation site reported 2 . In addition, the small intestine, rectum, and other parts are relatively rare, and there are few cases reported in the past 3 .…”