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Bladder perforation in a peritoneal dialysis patient
Joint Authors
Bin Maiz, Hadi
Abd al-Rahim, E.
Ounissi, M.
Sfaxi, Muhammad
Fayala, H.
Chebil, M.
Bin Abd Allah, Tayyib
Khidr, A. M.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 23, Issue 3 (30 Jun. 2012), pp.552-555, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2012-06-30
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
Abstract EN
The dysfunction of the catheter in peritoneal dialysis (PD) is a frequent complication.
However, perforation of organs are rare, particularly that of the urinary bladder.
This requires an early diagnosis and prompt treatment of patients.
We report here the case of a 38-yearold woman having end-stage renal disease due to autosomal-dominant polycystic kidney disease treated by PD since November 2000.
Three years later, she was treated for Staphylococcal peritonitis.
Four months later, she presented with a severe urge to urinate at the time of the fluid exchanges.
The biochemical analysis of the fluid from the bladder showed that it was dialysis fluid.
Injection of contrast through the catheter demonstrated the presence of a fistula between the bladder and the peritoneal cavity.
She underwent cystoscopic closure of the fistulous tract and the PD catheter was removed.
Subsequently, the patient was treated by hemodialysis.
One month later, a second catheter was implanted surgically after confirming the closure of the fistula.
Ten days later, she presented with pain at the catheter site and along the tunnel, which was found to be swollen along its track.
The injection of contrast produced swelling of the subcutaneous tunnel but without extravasation of the dye.
PD was withdrawn and the patient was put back on hemodialysis.
Bladder fistula is a rare complication in PD and diagnosis should be suspected when patient complains of an urge to pass urine during the exchanges, which can be confirmed by contrast study showing presence of dye in the bladder.
PD may be possible after the closure of the fistula, but recurrence may occur.
American Psychological Association (APA)
Ounissi, M.& Sfaxi, Muhammad& Fayala, H.& Abd al-Rahim, E.& Bin Abd Allah, Tayyib& Chebil, M.…[et al.]. 2012. Bladder perforation in a peritoneal dialysis patient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 23, no. 3, pp.552-555.
https://search.emarefa.net/detail/BIM-297493
Modern Language Association (MLA)
Ounissi, M.…[et al.]. Bladder perforation in a peritoneal dialysis patient. Saudi Journal of Kidney Diseases and Transplantation Vol. 23, no. 3 (Jun. 2012), pp.552-555.
https://search.emarefa.net/detail/BIM-297493
American Medical Association (AMA)
Ounissi, M.& Sfaxi, Muhammad& Fayala, H.& Abd al-Rahim, E.& Bin Abd Allah, Tayyib& Chebil, M.…[et al.]. Bladder perforation in a peritoneal dialysis patient. Saudi Journal of Kidney Diseases and Transplantation. 2012. Vol. 23, no. 3, pp.552-555.
https://search.emarefa.net/detail/BIM-297493
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 555
Record ID
BIM-297493