Maintenance of peritoneal dialysis despite subcutaneous leakage: a case report
DOI:
https://doi.org/10.25796/bdd.v7i3.83813Keywords:
peritoneal dialysis, subcutaneous leakAbstract
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Subcutaneous dialysate leakage is a rare mechanical complication of peritoneal dialysis (PD). It requires an individualized, multidisciplinary approach for effective management. We report the observation of a 33-year-old male patient with end-stage chronic renal failure who developed a subcutaneous leak 4 months after starting PD. Intraperitoneal pressure was elevated to 22 cm H2O. An abdominal computed tomography (CT) scan without injection confirmed diffuse infiltration of the abdominal wall. A CT scan with Gastrografin injection showed extravasation of Gastrografin along the catheter path, locating the dialysate leak at its peritoneal entrance. The management of this leakage was based on reducing the intraperitoneal injection volume with automated PD, and the evolution was favorable.
References
Leblanc M, Ouimet D, Pichette V. Dialysate leaks in peritoneal dialysis. Semin Dial. 2001;14(1):50‑4.
Tzamaloukas AH, Gibel LJ, Eisenberg B, Goldman RS, Kanig SP, Zager PG, et al. Early and late peritoneal dialysate leaks in patients on CAPD. Adv Perit Dial Conf Perit Dial. 1990;6:64‑71.
Miftah M. Complications mécaniques de la dialyse péritonéale. Néphrologie Thérapeutique. 1 sept 2013;9(5):297.
Fattoum S, Barbouch S, Braiek N, Hajji M, Mesbahi T, Ounissi M, et al. Les complications mécaniques en dialyse péritonéale : une menace à la technique ? Néphrologie Thérapeutique. 1 sept 2020;16(5):285.
Duquennoy S, Leduc V, Podevin E. Imaging and leaks in peritoneal dialysis. Bull Dial À Domic. 15 juin 2021;4(2):77‑84.
Yavuz K, Erden A, Ateş K, Erden I. MR peritoneography in complications of continuous ambulatory peritoneal dialysis. Abdom Imaging. 1 juin 2005;30(3):362‑9.
Zandieh S, Muin D, Bernt R, Krenn-List P, Mirzaei S, Haller J. Radiological diagnosis of dialysis-associated complications. Insights Imaging. oct 2014;5(5):603‑17.
Sosa Barrios RH, Rioja Martín ME, Burguera Vion V, Santos Carreño AL, Fernández Lucas M, Rivera Gorrín ME. Utility of Peritoneal Scintigraphy in Peritoneal Dialysis Patients: One Center Experience. Kidney360. 28 mai 2020;1(5):354‑8.
Dejardin A, Robert A, Goffin E. Intraperitoneal pressure in PD patients: relationship to intraperitoneal volume, body size and PD-related complications. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. mai 2007;22(5):1437‑44.
Castellanos LB, Clemente EP, Cabañas CB, Parra DM, Contador MB, Morera JCO, et al. Clinical Relevance of Intraperitoneal Pressure in Peritoneal Dialysis Patients. Perit Dial Int J Int Soc Perit Dial. 2017;37(5):562‑7.
Del Peso G, Bajo MA, Costero O, Hevia C, Gil F, Díaz C, et al. Risk factors for abdominal wall complications in peritoneal dialysis patients. Perit Dial Int J Int Soc Perit Dial. 2003;23(3):249‑54.
Crabtree JH, Shrestha BM, Chow KM, Figueiredo AE, Povlsen JV, Wilkie M, et al. Creating and Maintaining Optimal Peritoneal Dialysis Access in the Adult Patient: 2019 Update. Perit Dial Int. 1 sept 2019;39(5):414‑36.
Jegatheswaran J, Warren J, Zimmerman D. Reducing intra-abdominal pressure in peritoneal dialysis patients to avoid transient hemodialysis. Semin Dial. mai 2018;31(3):209‑12.
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Copyright (c) 2024 Sara El Maakoul, Kaoutar Darbal, Naima Ouzeddoun, Loubna Benamar
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