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

Zhou, Ru1,2; Luo, Minhong3; Tang, Hairong3; Yang, Tiecheng3; Ma, Hualin1,2; Wang, Zhen1,2; Zhang, Xinzhou1,2; Guo, Baochun1,2

2024

10.1002/ccr3.8390

CLINICAL CASE REPORTS   影响因子和分区

2050-0904

["Key Clinical MessageDelayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi-bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis. Delayed intestinal perforation of peritoneal dialysis catheter is a rare but serious complication. We reported a 49-year-old patient who had been hospitalized twice within 3 months due to poor drainage of the peritoneal dialysis catheter. During the first hospitalization, peritoneal dialysis-related peritonitis was diagnosed, and a variety of bacterial infections were cultivated. However, at that time, the actual peritoneal dialysis catheter-related intestinal perforation was missed, and he was discharged after anti-infection treatment until a clinical cure was met. After more than 2 months of normal peritoneal dialysis after returning home, the patient again had poor drainage of the peritoneal dialysis catheter, accompanied by the outflow of yellowish-brown sediment. It was found that the peritoneal dialysis catheter had evidence of intestinal perforation. After the removal of the catheter and intestinal repair, he recovered and was discharged from the hospital and received long-term hemodialysis treatment. In the case of delayed intestinal perforation, peritoneal dialysis was maintained normally for more than 2 months, which was an unprecedented situation in previous case reports. In addition, we should be alert to the occurrence of this rare complication, especially when we find the occurrence of polybacterial Peritonitis. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis.","image"]

bowel perforation PD catheter Polybacterial peritonitis

ESCI

英语

通讯

Shenzhen Fund for Guangdong Provincial High- Level Clinical Key Specialties[SZGSP001] ; Shenzhen Key Laboratory of Kidney Diseases[ZDSYS201504301616234]

General & Internal Medicine

Medicine, General & Internal

WOS:001137050800001

WILEY

Web of Science

1.Jinan Univ, Shenzhen Peoples Hosp, Clin Med Coll 2, Dept Nephrol, Shenzhen, Peoples R China
2.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen, Peoples R China
3.Sun Yat Sen Univ, Affiliated Hosp 8, Dept Nephrol, 3025 Shennan Middle Rd, Shenzhen 518000, Peoples R China

Zhou, Ru,Luo, Minhong,Tang, Hairong,et al. Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation[J]. CLINICAL CASE REPORTS,2024,12(1).

Zhou, Ru.,Luo, Minhong.,Tang, Hairong.,Yang, Tiecheng.,Ma, Hualin.,...&Guo, Baochun.(2024).Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation.CLINICAL CASE REPORTS,12(1).

Zhou, Ru,et al."Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation".CLINICAL CASE REPORTS 12.1(2024).