Peritoneal Dialysis Catheter Malfunction due to Adhesion to Ileum: A Case Report.

IF 0.7 Q4 UROLOGY & NEPHROLOGY

Case Reports in Nephrology and Dialysis Pub Date : 2025-04-19 eCollection Date: 2025-01-01 DOI:10.1159/000546016

Putu Angga Risky Raharja, I Putu Gde Fredy Gunawan, Gerhard Reinaldi Situmorang, Irfan Wahyudi, Arry Rodjani, Henny Adriani Puspitasari

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引用次数: 0

Abstract

Introduction: Peritoneal dialysis (PD) has been demonstrated to be advantageous in the treatment of patients with end-stage kidney disease (ESKD), especially in children. However, patients undergoing PD may experience mechanical problems such as catheter blockages. Obstruction of catheters mainly occur due to bowel dilatation and adhesion of the omentum but also can be caused by fibrin clots, constipation, peritonitis, and surgical procedures.

Case presentation: We reported a case of PD catheter adhesion to the ileum in a 1-year-old girl. Previously, the patient underwent laparoscopic insertion of PD catheter due to ESKD. One month after the procedure, there were signs of catheter obstruction. Laparoscopy evaluation and revision were carried out.

Conclusion: PD catheter malfunction is primarily due to obstruction; early laparoscopic intervention should be considered to address adhesion to other organs, preventing complications and PD discontinuation.

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回肠粘连导致腹膜透析导管故障1例。

腹膜透析（PD）已被证明在终末期肾病（ESKD）患者的治疗中具有优势，特别是在儿童中。然而，接受PD的患者可能会遇到机械问题，如导管堵塞。导尿管梗阻主要由肠扩张和网膜粘连引起，但也可由纤维蛋白凝块、便秘、腹膜炎和外科手术引起。病例介绍：我们报告一例1岁女童PD导管粘连回肠。此前，患者因ESKD接受了腹腔镜下PD导管插入。手术后一个月，有导管阻塞的迹象。进行腹腔镜评估和复查。结论：PD导管故障以梗阻为主；早期腹腔镜干预应考虑解决与其他器官的粘连，防止并发症和PD停药。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Nephrology and Dialysis UROLOGY & NEPHROLOGY-

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of nephrology and dialysis, including genetic susceptibility, clinical presentation, diagnosis, treatment or prevention, toxicities of therapy, critical care, supportive care, quality-of-life and survival issues. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed.