Spontaneous fracture of a silicone peritoneal catheter.
- Author:
Sung Won JUNG
1
;
Jeong Min CHA
;
Hyun Jung KIM
;
Yu Min LEE
;
Seung Jae BYUN
;
Ju Hung SONG
;
Seon Ho AHN
Author Information
1. Department of Internal Medicine, Jung Sung Won Clinic, Gunsan, Korea.
- Publication Type:Case Report
- Keywords:
Peritoneal dialysis;
Catheter;
Complications
- MeSH:
Abdomen;
Adult;
Catheters;
Edema;
Emergencies;
Fractures, Spontaneous;
Humans;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis;
Silicones;
Stress, Mechanical
- From:Korean Journal of Medicine
2009;77(3):359-361
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
