Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1393
2
1
gregorian
2014
5
1
5
3
online
1
fulltext
en
Supportive treatment of delayed perforated colon due to peritoneal dialysis catheterization
Internal
Internal
case report
case report
Background: One of uncommon complications in patients with peritoneal catheter is colon rupture which usually occurs during catheter insertion. In this paper, we present a case of delayed perforated colon following insertion of peritoneal catheter.
Case presentation: A 37-year-old man was suffering from chronic renal failure (CRF). Nine months after peritoneal catheterization, peritoneal dialysis was initiated for him. Dialysis fluid was introduced in the abdomen and severe watery diarrhea appeared. Due to intolerable symptoms (pain and severe watery diarrhea) he was referred to our hospital. By obtaining clinical history and physical examination, with suspicion to probable perforated colon, abdominal radiography with contrast through peritoneal catheter was performed. In his radiography, the catheter was detected in cecum. The patient underwent supportive treatment and the catheter was removed without laparotomy. The symptoms improved with antibiotic therapy, intravenous feeding and initiated bowel rest via NPO (nothing per oral) and he was discharged after 10 days with good general condition.
Conclusion: According to our presentation, it seems that in patients with catheter dysfunction, peritoneal catheter should be immediately removed to prevent colonic perforation.
Peritoneal dialysis, Catheter, Chronic renal failure, Supportive treatment, Bowel perforation
176
178
http://caspjim.com/browse.php?a_code=A-10-62-191&slc_lang=en&sid=1
Ahmad
Kachoie
10031947532846002062
10031947532846002062
No
Clinical Research Development Center, Qom University of Medical Sciences
Saied
Safari
10031947532846002063
10031947532846002063
No
Clinical Research Development Center, Qom University of Medical Sciences
Fatemeh
Hosseinzadeh
10031947532846002064
10031947532846002064
No
Clinical Research Development Center, Qom University of Medical Sciences
Jamshid
Vafaeimanesh
j.vafaeemanesh@muq.ac.ir
10031947532846002065
10031947532846002065
Yes
Clinical Research Development Center, Qom University of Medical Sciences