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KMID : 0882420090770030359
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Korean Journal of Medicine
2009 Volume.77 No. 3 p.359 ~ p.361
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Spontaneous fracture of a silicone peritoneal catheter
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Jung Sung-Won
Cha Jung-Min
Kim Hyun-Jung
Lee Yu-Min
Byun Seung-Jae
Song Ju-Hung
Ahn Seon-Ho
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Abstract
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Major peritoneal catheter-related complications include pericatheter leaks, outflow failure, and infection of the exit site or tunnel. We experienced a rare spontaneous fracture of a silicone peritoneal catheter. A 39-year-old man undergoing continuous ambulatory peritoneal dialysis (CAPD) developed peripheral edema and peritoneal outflow failure. He had no signs of exit-site infection, trauma, or peritonitis. The kidney-ureter-bladder radiograph suggested a fractured peritoneal catheter. We removed the catheter in an emergency operation and inserted a new peritoneal catheter. No obvious reason could explain why the catheter had broken, although the patient’s nephew was known to frequently jump on his abdomen Based on this case, mechanical stress should be avoided in CAPD patients with increased intra-abdominal pressure.
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KEYWORD
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Peritoneal dialysis, Catheter, Complications
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