| Spontaneous fracture of a silicone peritoneal catheter |
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Sung Won Jung, Jeong Min Cha, Hyun Jung Kim, Yu Min Lee, Seung Jae Byun, Ju Hung Song, Seon Ho Ahn |
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| Silicone 재질 복막투석 도관의 자발적 파손 1예 |
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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 |
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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. (Korean J Med 77:359-361, 2009) |
| Key Words:
Peritoneal dialysis; Catheter; Complications |
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