Laparoscopic treatment of large bowel obstruction due to a self-locating peritoneal dialysis catheter
| Autor: | Emilio Sánchez Álvarez, Amaya Rizzo Ramos, Lourdes Sanz Álvarez, José Luis Rodicio Miravalles, Tamara Díaz Vico, María Moreno Gijón, Estrella Olga Turienzo Santos |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Perforation (oil well) Peritoneal dialysis Laparoscopic approach 030230 surgery Article 03 medical and health sciences 0302 clinical medicine Occlusion Case report Medicine Renal replacement therapy Catheter business.industry Continuous ambulatory peritoneal dialysis Sigmoid colon Surgery medicine.anatomical_structure Intestinal obstruction 030220 oncology & carcinogenesis Abdomen business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Intestinal obstruction due to self-locating peritoneal dialysis catheters is an infrequent condition. • A 55-year-old patient diagnosed with large bowel obstruction was successfully treated by laparoscopic approach. • The weight added to the tip of self-locating catheters can cause different complications, including decubitus ulcers or perforations of soft tissues. Introduction Peritoneal dialysis has been used in the treatment of end-stage renal disease for a long time. The development of continuous ambulatory peritoneal dialysis (CAPD) has achieved an acceptable device of renal replacement therapy. Presentation of case We report a 55 year-old patient who was initiated on CAPD in February 2016. Three months later, the Tenckhoff catheter was removed due to its malfunction, and a new self-locating peritoneal dialysis catheter was placed in the left side of the abdomen. In September 2016, the patient presented with symptoms of intestinal obstruction. A CT scan revealed a collapsed sigmoid colon with the tungsten tip of the catheter supported on the mesosigmoid as the cause of the occlusion. Discussion Herein, a rare but clinically important case of mechanical large bowel obstruction due to self-locating peritoneal dialysis catheter is presented. The weight added to the tip of the self-locating catheter for the purpose of stretching it, can be dangerous if a displacement takes place. A laparoscopic procedure was performed, resolving the obstruction by reinserting the peritoneal catheter in its right position. Conclusion The weight added to the tip of self-locating catheters is a matter of concern, since intimate contact between the peritoneal catheter and the intestinal wall can result in perforation or intestinal occlusion. |
| Databáze: | OpenAIRE |
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