Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature
Abstract Background Peritoneal dialysis (PD) depends upon a functioning and durable access to the peritoneal cavity. Many techniques exist to insert a peritoneal catheter, showing similar outcomes and benefits. Blind percutaneous insertion represents a bedside intervention predominantly performed by...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-023-03155-9 |
| _version_ | 1797836551876509696 |
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| author | Lucas Jacobs Mohammed Salaouatchi Maxime Taghavi Said Sanoussi Joelle Nortier Maria Mesquita |
| author_facet | Lucas Jacobs Mohammed Salaouatchi Maxime Taghavi Said Sanoussi Joelle Nortier Maria Mesquita |
| author_sort | Lucas Jacobs |
| collection | DOAJ |
| description | Abstract Background Peritoneal dialysis (PD) depends upon a functioning and durable access to the peritoneal cavity. Many techniques exist to insert a peritoneal catheter, showing similar outcomes and benefits. Blind percutaneous insertion represents a bedside intervention predominantly performed by nephrologists requiring only local anesthesia, sedation and minimal transcutaneous access. Although current guidelines recommend insertion techniques allowing visualization of the peritoneal cavity, the blind percutaneous approach is still widely used and has been proven safe and effective to bring durable peritoneal dialysis access. Herein, we described a rare case of jejunal perforation secondary to blind PD catheter placement, and conduct a review of the current medical literature describing early bowel perforations secondary to PD catheter placement, gathering descriptions of symptomatology and outcomes and their relations to the insertion technique. Clinical presentation We herein describe the case of a 48 year-old patient with a history of appendectomy who suffered from triple jejunal perforation after blind percutaneous insertion and subsequent embedment of his peritoneal catheter. Accurate diagnosis was made 1 month after insertion due to atypical clinical presentation and because physicians had no access to the peritoneal cavity after catheter embedment. After surgical repair and broad-spectrum antibiotics, the patient was switched to HD. Conclusion Early catheter-related visceral injury is a rare, yet threatening condition that is almost always causing a switch to hemodialysis or death. Our review highlights that laparoscopic catheter placement might bring better outcomes if perforation occurs, as it allows immediate diagnosis and treatment. On the contrary, catheter embedment may delay clinical diagnosis and therefore bring worse outcomes. |
| first_indexed | 2024-04-09T15:11:50Z |
| format | Article |
| id | doaj.art-70e0adf79be847aa84382de4f1027430 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-09T15:11:50Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-70e0adf79be847aa84382de4f10274302023-04-30T11:10:09ZengBMCBMC Nephrology1471-23692023-04-012411810.1186/s12882-023-03155-9Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literatureLucas Jacobs0Mohammed Salaouatchi1Maxime Taghavi2Said Sanoussi3Joelle Nortier4Maria Mesquita5Nephrology and Dialysis Department, Brugmann University Hospital, Université Libre de BruxellesNephrology and Dialysis Department, Brugmann University Hospital, Université Libre de BruxellesNephrology and Dialysis Department, Brugmann University Hospital, Université Libre de BruxellesRadiology Department, Brugmann University Hospital, Université Libre de BruxellesNephrology and Dialysis Department, Brugmann University Hospital, Université Libre de BruxellesNephrology and Dialysis Department, Brugmann University Hospital, Université Libre de BruxellesAbstract Background Peritoneal dialysis (PD) depends upon a functioning and durable access to the peritoneal cavity. Many techniques exist to insert a peritoneal catheter, showing similar outcomes and benefits. Blind percutaneous insertion represents a bedside intervention predominantly performed by nephrologists requiring only local anesthesia, sedation and minimal transcutaneous access. Although current guidelines recommend insertion techniques allowing visualization of the peritoneal cavity, the blind percutaneous approach is still widely used and has been proven safe and effective to bring durable peritoneal dialysis access. Herein, we described a rare case of jejunal perforation secondary to blind PD catheter placement, and conduct a review of the current medical literature describing early bowel perforations secondary to PD catheter placement, gathering descriptions of symptomatology and outcomes and their relations to the insertion technique. Clinical presentation We herein describe the case of a 48 year-old patient with a history of appendectomy who suffered from triple jejunal perforation after blind percutaneous insertion and subsequent embedment of his peritoneal catheter. Accurate diagnosis was made 1 month after insertion due to atypical clinical presentation and because physicians had no access to the peritoneal cavity after catheter embedment. After surgical repair and broad-spectrum antibiotics, the patient was switched to HD. Conclusion Early catheter-related visceral injury is a rare, yet threatening condition that is almost always causing a switch to hemodialysis or death. Our review highlights that laparoscopic catheter placement might bring better outcomes if perforation occurs, as it allows immediate diagnosis and treatment. On the contrary, catheter embedment may delay clinical diagnosis and therefore bring worse outcomes.https://doi.org/10.1186/s12882-023-03155-9Blind peritoneal dialysis catheter insertionCase reportPeritoneal dialysisMoncrief-Popovich embedded catheterVisceral perforation |
| spellingShingle | Lucas Jacobs Mohammed Salaouatchi Maxime Taghavi Said Sanoussi Joelle Nortier Maria Mesquita Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature BMC Nephrology Blind peritoneal dialysis catheter insertion Case report Peritoneal dialysis Moncrief-Popovich embedded catheter Visceral perforation |
| title | Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature |
| title_full | Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature |
| title_fullStr | Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature |
| title_full_unstemmed | Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature |
| title_short | Jejunal perforation secondary to blind insertion of peritoneal dialysis catheter: a case report and review of literature |
| title_sort | jejunal perforation secondary to blind insertion of peritoneal dialysis catheter a case report and review of literature |
| topic | Blind peritoneal dialysis catheter insertion Case report Peritoneal dialysis Moncrief-Popovich embedded catheter Visceral perforation |
| url | https://doi.org/10.1186/s12882-023-03155-9 |
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