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CEN Case Reports

, Volume 6, Issue 2, pp 129–131 | Cite as

Erosion of a Tenckhoff catheter to the sigmoid colon: an uncommon delayed complication

  • Jorge Quinto RuizEmail author
  • Carlos Eduardo Durón Gutiérrez
  • Antonio Hiram Romero Moreno
  • Stephanie González Rosas
  • Alfonsina Daniela Castañeda Gutiérrez
Case report

Abstract

Continuous ambulatory peritoneal dialysis is one of the most commonly used therapies for patients with impaired renal function. Most frequent complications directly related to the catheter usually present within the first weeks, and range from catheter dysfunction to dialysis-associated peritonitis; bowel perforation while placing the catheter is uncommon, and it is usually assessed in the same surgical event. There are, however, delayed complications, and one of the least frequently described is erosion of the catheter into the bowel. We present the case of a 65-year-old man, who shows up at the emergency room referring to “acute diarrhea” associated with his dialysis, it is quickly diagnosed as a bowel perforation and underwent emergency surgery. During the operation we found adhesions compromising small bowel and sigmoid colon, the far end of the dialysis catheter inside the sigmoid colon, with no signs of colonic leakage to the peritoneal space. We removed the dialysis catheter, resected the fibrous borders of the site of insertion and performed a primary closure. The patient evolved satisfactorily and was subsequently discharged to continue with hemodialysis for renal substitution therapy.

Keywords

Peritoneal dialysis catheter Tenckhoff catheter Colon perforation Sigmoid perforation 

Notes

Compliance with ethical standards

Conflict of interest

Authors declare there is no conflict of interest regarding this case.

Funding

This case did not require funding or financing.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee at which the studies were conducted, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

References

  1. 1.
    Méndez-Duran A, Méndez-Bueno JF, Tapia-Yáñez T, Muñoz-Montes A, Aguilar-Sánchez L. Epidemiología de la insuficiencia renal crónica en México. Dial Transpl. 2010;31(1):7–11.Google Scholar
  2. 2.
    Tiong HY, Poh J, Sunderaraj K, Wu YJ, Consigliere DT. Surgical complications of Tenckhoff catheters used in continuous ambulatory peritoneal dialysis. Singap Med J. 2006;47(8):707–11.Google Scholar
  3. 3.
    Valles M, Cantorelli C, Vila I, et al. Delayed perforation of the colon by a Tenckhoff catheter. Perit Dial Bull. 1982;2:190.Google Scholar
  4. 4.
    Kerwin L, Calhoun S. Delayed intraperitoneal catheter erosion into the small bowel. Case Rep Radiol. 2015;2015:3. doi: 10.1155/2015/697608 (article ID 697608).CrossRefGoogle Scholar
  5. 5.
    Wang R, Chen Z, Wang J, Zhang X, Shou Z, Chen J. Delayed bowel perforation in a peritoneal dialysis patient: a case report and literature review. Perit Dial Int J Int Soc Perit Dial. 2014;34(4):460–6. doi: 10.3747/pdi.2012.00345.CrossRefGoogle Scholar
  6. 6.
    Finkle SN. Peritoneal dialysis catheter erosion into bowel: amyloidosis may be a risk factor. Perit Dial Int. 2005;25:296–7.PubMedGoogle Scholar
  7. 7.
    Saweirs WW, Casey J. Asymptomatic bowel perforation by a Tenckhoff catheter. Perit Dial Int. 2005;25:195–6.PubMedGoogle Scholar

Copyright information

© Japanese Society of Nephrology 2017

Authors and Affiliations

  1. 1.Department of General SurgeryISSSTE-Tacuba General HospitalMéxico CityMexico

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