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Endoscopic Management of Delayed Perforation of the Rectum Caused by a Peritoneal Dialysis Catheter

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Author(s)
Seong Kyu BaekOk Suk BaeByoung Kuk Jang
Keimyung Author(s)
Baek, Seong KyuBae, Ok SukJang, Byoung Kuk
Department
Dept. of Surgery (외과학)
Dept. of Internal Medicine (내과학)
Journal Title
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Issued Date
2011
Volume
21
Issue
1
Keyword
peritoneal dialysis (PD)bowel perforationperitoneal dialysis catheterEndoscopic management
Abstract
Bowel perforation caused by a peritoneal dialysis (PD)
catheter is an uncommon complication. It occurs mostly at the time
of insertion of a catheter. Delayed perforation of the bowel by a
PD catheter can also occur, but is even more uncommon. The ideal
management of perforation of the colon by a PD catheter remains
to be established because of its very low incidence. Definite surgery
is the usual treatment. Here, we report on a 50-year-old male
patient who presented with severe watery diarrhea owing to
delayed rectal perforation caused by a PD catheter. A computed
tomography scan revealed that the catheter tip was inside the
lumen of the rectum. This was further confirmed by colonoscopy
after bowel preparation. The PD catheter was removed via the
original abdominal incision and the rectal perforation was closed
using 3 endoscopic clips. The patient made an uneventful recovery.
Key Words: peritoneal dialysis (PD), bowel perforation, peritoneal
dialysis catheter, Endoscopic management
(Surg Laparosc Endosc Percutan Tech 2011;21:e44–e47)
Bowel perforation caused by a peritoneal dialysis (PD)
catheter occurs very rarely, but has serious consequences.
1 Such perforations mostly occur during catheter
insertion; however, delayed perforation can also occur
some time after catheter insertion.2,3 Although the treatment
of bowel perforations usually involves definitive
surgery,1 the optimal treatment approach has not been
established yet.
The present report describes a case of delayed rectal
perforation caused by a PD catheter that was successfully
treated using endoscopic methods and endoclips.
Keimyung Author(s)(Kor)
백성규
배옥석
장병국
Publisher
School of Medicine
Citation
Seong Kyu Baek et al. (2011). Endoscopic Management of Delayed Perforation of the Rectum Caused by a Peritoneal Dialysis Catheter. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 21(1), e44–e47. doi: 10.1097/SLE.0b013e3182093fb4
Type
Article
ISSN
1530-4515
Source
https://insights.ovid.com/pubmed?pmid=21304375
DOI
10.1097/SLE.0b013e3182093fb4
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34451
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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