Sustained dialysis with misplaced peritoneal dialysis catheter outside peritoneum:A case report  

作　　者：Quan-Quan Shen Tapas Ranjan Behera Liang-Liang Chen Doaa Attia Fei Han 

机构地区：[1]Kidney Disease Center,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang Province,China [2]Institute of Nephrology,Zhejiang University,Hangzhou 310003,Zhejiang Province,China [3]Key Laboratory of Kidney Disease Prevention and Control Technology,Hangzhou 310003,Zhejiang Province,China [4]Nephrology Center,Department of Nephrology,Zhejiang Provincial People’s Hospital,The Affiliated People’s Hospital,Hangzhou Medical College,Hangzhou 310014,Zhejiang Province,China [5]Taussig Cancer Institute,Cleveland Clinic,Cleveland,OH 44195,United States

出　　处：《World Journal of Clinical Cases》2022年第19期6501-6506,共6页世界临床病例杂志

基　　金：National Natural Science Foundation of China,No.81900692.

摘　　要：BACKGROUND In patients undergoing peritoneal dialysis(PD),catheter dysfunction is a common complication.A misplaced catheter is one of the reasons contributing to its dysfunction.The present study aimed to describe a case of misplaced PD catheter with an unusual location of the catheter tip.CASE SUMMARY A 61-year-old man undergoing PD for 4 years was investigated for progressive nausea and fatigue of 3 mo.Dialysis adequacy studies indicated inefficient dialysis.Imaging discovered that the PD catheter tip was mispositioned in the pelvic cavity with its tip outside the peritoneal cavity.Despite the dialysate accumulating outside the peritoneal cavity,the patient had not developed perineal or scrotal edema.The patient had experienced a sustainable prolonged dialysis efficacy in this case until the renal function deteriorated further in view of the poor dialysis outcome and worsening health condition.The patient was subsequently transitioned to hemodialysis.CONCLUSION Proper placement of the catheter in the peritoneal cavity should always be confirmed and rechecked when necessary in patients undergoing PD to ensure dialytic adequacy.

关 键 词：Peritoneal dialysis Peritoneal cavity KIDNEY Case report 

分 类 号：R692.5[医药卫生—泌尿科学]