Delayed Laceration of Intestinal Wall by the Permanent T enckhoff Peritoneal Catheter

Abstract

Two patients with delayed laceration of intestinal wall by long-standing Tenckhoff peritoneal catheter for continuous ambulatory peritoneal dialysis (CAPD) are described. The laceration was due to the formation of a decubitus ulcer by prolonged pressure of the catheter on the intestinal wall. If not treated surgically, this may cause perforation with fecal peritonitis and intestinal obstruction.

Chronic Peritoneal Dialysis Catheters: Effects of Catheter Design, Materials, and Location

“…Unused peritoneal catheters have penetrated or perforated: bowel in some immunosuppressed patients after transplant (65), an adhesion causing an intraabdominal hematoma after beginning hemodialysis (74), or the bladder after recovery of renal function (69). During CAPD, massive intraperitoneal bleeding has occurred (67) as well as perforation of intestinal wall (70).…”