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KMID : 0359919930120020179
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Korean Journal of Nephrology
1993 Volume.12 No. 2 p.179 ~ p.183
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A Case of Catheter-Colon Fistula in continuous Pertoneal Dialysis
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Abstract
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Bowel perforation is a rather rare complication of peritoneal dialysis. The majority of cases have occurred upon insertion of a stylet catheter for the purpose of performing acute dialysis. Perfortion associated with a chronic peritoneal dialysis
catherter is distinctly unusal.
We experienced a case of perforation of sigmoid colon in a 48-yar-old woman. She was admitted to Inha university hospital, complaining with lower abdominal pain and general weakness. Tenckhoff catheter has been inserted for CAPD 9 months ago and
the
catheter was not inactive use during recent two months because of poor economic condition. On admission 2 liters of dialysis solution was given through the catheter for regular exchange, some minutes later patient have passed bulky watery stool.
In
fistulogram, the tip of catheter was located within rectosigmoid junction of the colon. At laparatomy full thickness pressure necrosis involving the antemesenteric portion of the sigmoid colon and cateter colon fistu la surrounded by fibrotic ban
were
found. Adhemolysis and simple closure of affected loop was done.
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