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Peritoneal dialysis has been a reliable alternative treatment for end-stage renal disease. However, it is not exempt of complications. In this manuscript, we describe an uncommon case of pericatheter herniation, complicated with small bowel obstruction, which required an emergent surgical procedure. CT scan was needed to reach an accurate diagnosis. Pericatheter hernia is a complication that must be suspected in patients undergoing peritoneal dialysis who show signs of small bowel obstruction.

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