A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement
The laparoscopic placement of a continuous ambulatory peritoneal dialysis (CAPD) catheter is a widely used method in patients with end stage renal disease (ESRD). The potential complications of this procedure include perforation of intra-abdominal organs, surgical site infection, peritonitis, cathet...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/1309418 |
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| author | T. Natroshvili T. Elling S. A. Dam M. vd Berg R. R. H. Nap R. J. Hissink |
| author_facet | T. Natroshvili T. Elling S. A. Dam M. vd Berg R. R. H. Nap R. J. Hissink |
| author_sort | T. Natroshvili |
| collection | DOAJ |
| description | The laparoscopic placement of a continuous ambulatory peritoneal dialysis (CAPD) catheter is a widely used method in patients with end stage renal disease (ESRD). The potential complications of this procedure include perforation of intra-abdominal organs, surgical site infection, peritonitis, catheter migration, catheter blockage, port site herniation, and bleeding. In most cases, bleeding is considered to be an early-onset complication because it mostly occurs within the first seven days after surgery. We report a case of a 68-year-old female patient with a previous history of diabetes mellitus, myelodysplastic syndrome, extensive collateral varices, anaemia, and ESRD due to obstructive uropathy caused by retroperitoneal fibrosis, who presented with persistent blood loss after the laparoscopic placement of a CAPD catheter. Duplex ultrasonography showed that the CAPD catheter was transfixing a superficial epigastric varicose vein, a collateral vein, due to the occlusion of the left external iliac vein. Persistent blood loss after inserting a CAPD catheter without previous imaging of abdominal wall vessels is an indication for further diagnostics. |
| format | Article |
| id | doaj-art-900fdaba595a482b9b31b6cbb88fb436 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-900fdaba595a482b9b31b6cbb88fb4362025-02-03T01:25:19ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/13094181309418A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter PlacementT. Natroshvili0T. Elling1S. A. Dam2M. vd Berg3R. R. H. Nap4R. J. Hissink5Department of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsDepartment of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsDepartment of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsDepartment of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsDepartment of Internal Medicine, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsDepartment of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, NetherlandsThe laparoscopic placement of a continuous ambulatory peritoneal dialysis (CAPD) catheter is a widely used method in patients with end stage renal disease (ESRD). The potential complications of this procedure include perforation of intra-abdominal organs, surgical site infection, peritonitis, catheter migration, catheter blockage, port site herniation, and bleeding. In most cases, bleeding is considered to be an early-onset complication because it mostly occurs within the first seven days after surgery. We report a case of a 68-year-old female patient with a previous history of diabetes mellitus, myelodysplastic syndrome, extensive collateral varices, anaemia, and ESRD due to obstructive uropathy caused by retroperitoneal fibrosis, who presented with persistent blood loss after the laparoscopic placement of a CAPD catheter. Duplex ultrasonography showed that the CAPD catheter was transfixing a superficial epigastric varicose vein, a collateral vein, due to the occlusion of the left external iliac vein. Persistent blood loss after inserting a CAPD catheter without previous imaging of abdominal wall vessels is an indication for further diagnostics.http://dx.doi.org/10.1155/2020/1309418 |
| spellingShingle | T. Natroshvili T. Elling S. A. Dam M. vd Berg R. R. H. Nap R. J. Hissink A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement Case Reports in Surgery |
| title | A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement |
| title_full | A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement |
| title_fullStr | A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement |
| title_full_unstemmed | A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement |
| title_short | A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement |
| title_sort | rare cause of persistent blood loss after continuous ambulatory peritoneal dialysis catheter placement |
| url | http://dx.doi.org/10.1155/2020/1309418 |
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