Accidental placement of the continuous ambulatory peritoneal dialysis catheter into the urinary bladder

Nasir, Syed Aijaz; Bhat, Mohd Ashraf; Wani, Muzafar M; Syed, Tufail; Wani, Imtiyaz Ahmad; Mantoo, Suhail

doi:10.4103/1319-2442.109609

Cited by 6 publications

(3 citation statements)

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“…The notable disadvantage of percutaneous PD catheter insertions without imaging guidance is the inability to visualize the peritoneal cavity but has the advantage of rapid, bedside insertion under local anesthesia [ 2 ]. Despite its potential, the risk of perforation of the viscus is low, even in nonsurgical hands [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

Accidental Insertion of a Peritoneal Dialysis Catheter in the Urinary Bladder

Riar

Abdulhadi

Day

et al. 2018

Case Rep Nephrol Dial

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Percutaneous insertion of a peritoneal dialysis (PD) catheter has inherent risks of complications, more so if done “blind” (without fluoroscopy and ultrasound guidance). Despite the perceived disadvantages, there are very few reported cases of mechanical complications after PD catheter insertion. We present an 81-year-old man who underwent percutaneous insertion of dual-cuffed coiled Tenckhoff PD catheter under local anesthesia by a trained nephrologist. The procedure was uneventful, and the patient was discharged 45 min later in a stable state. A day later, he noticed a decline in the urine output. A week later at a scheduled clinic visit, upon unclamping the PD catheter, there was a sudden gush of amber colored fluid. A diagnostic CT scan confirmed the presence of PD catheter entering the abdominal cavity inferior to the umbilicus and the distal end coiled in the urinary bladder. This case illustrates the need for prophylactic Foley catheterization in individuals at high risk for a distended bladder either as a consequence of a mechanical obstruction from an enlarged prostate or due to a neurogenic bladder while undergoing “blind” percutaneous placement.

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Section: Discussionmentioning

confidence: 99%

Accidental Insertion of a Peritoneal Dialysis Catheter in the Urinary Bladder

Riar

Abdulhadi

Day

et al. 2018

Case Rep Nephrol Dial

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“…Technical and mechanical complications associated with a peritoneal catheter can be observed (2,3). Placing the catheter in the bladder is a very rare complication and it is reported only in 15 patients in the literature (2,(4)(5)(6). This is the first case reported from Turkey.…”

Section: öZmentioning

confidence: 99%

Rare Complication in Tenchkoff Catheter Insertion: Placement in the Bladder

Eser¹,

Doğan²,

Yayar³

et al. 2017

Turk Neph Dial Transpl

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Mechanical and technical complications associated with a peritoneal dialysis catheter are seen frequently but inserting the catheter into the bladder is a rare complication. The Tenchkoff catheter was inserted into the bladder accidentally in a 64-year-old male patient and this complication was understood by the beginning of peritoneal dialysis (PD). This is the first case reported in the national literature. It is presented to highlight the importance of this complication that may be asymptomatic until the initiation of PD treatment.

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“…Previously, the most common post-implantation bladder trauma is reported in patients with neurogenic bladder and unpreparedness of bladder. 2,3 In this case, the patient’s bladder was catheterised before the procedure; however, the operation process was extended because of the unstable patient’s cardiac condition, and the patient’s bladder was overexpanded due to retaining a large amount of residual urine, both factors might contribute to the accidental bladder perforation. Retaining a urinary catheter prior to inserting the PD catheter might be advantageous in patients with a large amount of residual kidney urine, to minimise the risk of unintentional bladder perforation.…”

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confidence: 99%