Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation
Key Clinical Message Delayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi‐bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions a...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.8390 |
| _version_ | 1797335011293134848 |
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| author | Ru Zhou Minhong Luo Hairong Tang Tiecheng Yang Hualin Ma Zhen Wang Xinzhou Zhang Baochun Guo |
| author_facet | Ru Zhou Minhong Luo Hairong Tang Tiecheng Yang Hualin Ma Zhen Wang Xinzhou Zhang Baochun Guo |
| author_sort | Ru Zhou |
| collection | DOAJ |
| description | Key Clinical Message Delayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi‐bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis. Delayed intestinal perforation of peritoneal dialysis catheter is a rare but serious complication. We reported a 49‐year‐old patient who had been hospitalized twice within 3 months due to poor drainage of the peritoneal dialysis catheter. During the first hospitalization, peritoneal dialysis‐related peritonitis was diagnosed, and a variety of bacterial infections were cultivated. However, at that time, the actual peritoneal dialysis catheter‐related intestinal perforation was missed, and he was discharged after anti‐infection treatment until a clinical cure was met. After more than 2 months of normal peritoneal dialysis after returning home, the patient again had poor drainage of the peritoneal dialysis catheter, accompanied by the outflow of yellowish‐brown sediment. It was found that the peritoneal dialysis catheter had evidence of intestinal perforation. After the removal of the catheter and intestinal repair, he recovered and was discharged from the hospital and received long‐term hemodialysis treatment. In the case of delayed intestinal perforation, peritoneal dialysis was maintained normally for more than 2 months, which was an unprecedented situation in previous case reports. In addition, we should be alert to the occurrence of this rare complication, especially when we find the occurrence of polybacterial Peritonitis. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis. |
| first_indexed | 2024-03-08T08:29:41Z |
| format | Article |
| id | doaj.art-a3eca020ff184333931dd852b19b45e6 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-08T08:29:41Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-a3eca020ff184333931dd852b19b45e62024-02-02T03:36:32ZengWileyClinical Case Reports2050-09042024-01-01121n/an/a10.1002/ccr3.8390Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforationRu Zhou0Minhong Luo1Hairong Tang2Tiecheng Yang3Hualin Ma4Zhen Wang5Xinzhou Zhang6Baochun Guo7Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical College Jinan University; The First Affiliated Hospital, Southern University of Science and Technology Shenzhen ChinaDepartment of Nephrology The Eighth Affiliated Hospital of Sun Yat‐sen University Shenzhen ChinaDepartment of Nephrology The Eighth Affiliated Hospital of Sun Yat‐sen University Shenzhen ChinaDepartment of Nephrology The Eighth Affiliated Hospital of Sun Yat‐sen University Shenzhen ChinaDepartment of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical College Jinan University; The First Affiliated Hospital, Southern University of Science and Technology Shenzhen ChinaDepartment of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical College Jinan University; The First Affiliated Hospital, Southern University of Science and Technology Shenzhen ChinaDepartment of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical College Jinan University; The First Affiliated Hospital, Southern University of Science and Technology Shenzhen ChinaDepartment of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical College Jinan University; The First Affiliated Hospital, Southern University of Science and Technology Shenzhen ChinaKey Clinical Message Delayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi‐bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis. Delayed intestinal perforation of peritoneal dialysis catheter is a rare but serious complication. We reported a 49‐year‐old patient who had been hospitalized twice within 3 months due to poor drainage of the peritoneal dialysis catheter. During the first hospitalization, peritoneal dialysis‐related peritonitis was diagnosed, and a variety of bacterial infections were cultivated. However, at that time, the actual peritoneal dialysis catheter‐related intestinal perforation was missed, and he was discharged after anti‐infection treatment until a clinical cure was met. After more than 2 months of normal peritoneal dialysis after returning home, the patient again had poor drainage of the peritoneal dialysis catheter, accompanied by the outflow of yellowish‐brown sediment. It was found that the peritoneal dialysis catheter had evidence of intestinal perforation. After the removal of the catheter and intestinal repair, he recovered and was discharged from the hospital and received long‐term hemodialysis treatment. In the case of delayed intestinal perforation, peritoneal dialysis was maintained normally for more than 2 months, which was an unprecedented situation in previous case reports. In addition, we should be alert to the occurrence of this rare complication, especially when we find the occurrence of polybacterial Peritonitis. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis.https://doi.org/10.1002/ccr3.8390bowel perforationPD catheterPolybacterial peritonitis |
| spellingShingle | Ru Zhou Minhong Luo Hairong Tang Tiecheng Yang Hualin Ma Zhen Wang Xinzhou Zhang Baochun Guo Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation Clinical Case Reports bowel perforation PD catheter Polybacterial peritonitis |
| title | Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation |
| title_full | Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation |
| title_fullStr | Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation |
| title_full_unstemmed | Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation |
| title_short | Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation |
| title_sort | delayed intestinal perforation associated with peritoneal dialysis a case report of maintaining dialysis after perforation |
| topic | bowel perforation PD catheter Polybacterial peritonitis |
| url | https://doi.org/10.1002/ccr3.8390 |
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