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The Korean Journal of Medicine 2009;77(3): 359-361.
Silicone 재질 복막투석 도관의 자발적 파손 1예
정성원·차정민·김현정·이유민·변승재·송주흥·안선호, Jeong Min Cha, Hyun Jung Kim, Yu Min Lee, Seung Jae Byun, Ju Hung Song, Seon Ho Ahn
Spontaneous fracture of a silicone peritoneal catheter
Sung Won Jung, Jeong Min Cha, Hyun Jung Kim, Yu Min Lee, Seung Jae Byun, Ju Hung Song, Seon Ho Ahn
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. (Korean J Med 77:359-361, 2009)
Keywords: Peritoneal dialysis; Catheter; Complications
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