Insertion of peritoneal dialysis (PD) catheter into the bladder is a rare complication of PD. Herein, we describe a case of an adult patient, diabetic for a long time undergoing PD tube insertion who was found to have a catheter in the urinary bladder. He was treated after waiting for the bladder breach with indwelling bladder catheterization with repositioning of the same catheter, and prophylactic antibiotics. The evolution is marked by the regression of the symptomatology and the survival of the technique. This report gives a timely reminder of the need to check for urinary bladder distension prior to PD catheter insertion surgery. Perforating injuries should be considered in patients with symptoms related to the urinary tract and free flow of fluid from the PD tube.
Cite this paper
Houssein, M. M. , Mponguili-Peya, T. , Bahadi, A. and Kabbaj, D. E. (2022). Conservative Treatment of Bladder Perforation by Peritoneal Dialysis Catheter: A Case Report. Open Access Library Journal, 9, e8705. doi: http://dx.doi.org/10.4236/oalib.1108705.
Zakou, A.R.H., et al. (2020) Implantation du catheter de dialyse peritoneale: Technique et complications. PAMJ Clinical Medicine, 2, 19.
https://doi.org/10.11604/pamj-cm.2020.2.19.20916
Francois, K., De Clerck, D., Robberechts, T., Van Hulle, F., Van Cauwelaert, S., Luyten, I. and Jacobs-Tulleneers-Thevissen, D. (2021) Percutaneous insertion of peritoneal dialysis catheters by the nephrologist (modified Seldinger technique). Bulletin de la Dialyse à Domicile, 4, 277-288.
https://doi.org/10.25796/bdd.v4i4.63393
Veys, N., Biesen, W.V., Vanholder, R. and Lameire, N. (2002) Peritoneal Dialysis Catheters: The Beauty of Simplicity or the Glamour of Technicality? Percutaneous vs Surgical Placement. Nephrology Dialysis Transplantation, 17, 210-212.
https://doi.org/10.1093/ndt/17.2.210
Li, P.K.-T., Szeto, C.C., Piraino, B., et al. (2016) ISPD (International Society of Peritoneal Dialysis) Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Peritoneal Dialysis International, 36, 481-508.
https://doi.org/10.3747/pdi.2016.00078
Fattoum, S., et al. (2020) Les complications mécaniques en dialyse péritonéale: Une menace à la technique? Néphrologie & Thérapeutique, 16, 285.
https://doi.org/10.1016/j.nephro.2020.07.088
Moreiras, M., Cuiña, L., Rguez, G.G., et al. (1997) Inadvertent Placement of a Tenckhoff Catheter into the Urinary Bladder. Nephrology Dialysis Transplantation, 12, 818-820. https://doi.org/10.1093/ndt/12.4.818
Mahat, Y., et al. (2019) A Contemporary Review of Adult Bladder Trauma. Journal of Injury and Violence Research, 11, 101-106.
https://doi.org/10.5249/jivr.v11i2.1069
