Peritoneal dialysis catheter malposition: Iatrogenic vesical perforation

Despite perceived disadvantage of percutaneous continuous ambulatory peritoneal dialysis catheter placement compared to its surgical placement, complications are very rare if done by a trained nephrologist under fluoroscope guidance. We present a case of end stage renal disease whose peritoneal dialysis catheter position was confirmed through fluoroscope initially but subsequently developed urinary urgency after initiation of peritoneal dialysis and detected to be bladder perforation which required laparoscopic repair.