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Retroperitoneal Hematoma Causing Peritoneal Dialysis Catheter Malfunction
Alison A Smith1, Adam N Fonseca1, Mihran V Naljayan2
1Tulane University.
Summary
A retroperitoneal hematoma from an endoscopic procedure caused peritoneal dialysis (PD) catheter dysfunction. Prompt surgical intervention resolved the blockage, allowing the patient to resume PD safely.
Area of Science:
- Nephrology
- Gastroenterology
- Surgical Complications
Background:
- Peritoneal dialysis (PD) is a vital treatment for end-stage renal disease.
- PD catheter dysfunction can significantly impact treatment efficacy.
- Retroperitoneal hematomas are rare but serious complications.
Observation:
- A patient with end-stage renal disease experienced PD catheter dysfunction.
- A large retroperitoneal hematoma was identified via CT scan.
- The hematoma had ruptured into the peritoneum, obstructing the PD catheter with clots.
Findings:
- Diagnostic laparoscopy revealed the retroperitoneal hematoma had ruptured into the peritoneal cavity.
- The PD catheter was clogged with blood clots from the hematoma.
- Surgical revision, clot evacuation, and catheter flushing successfully resolved the dysfunction.
Implications:
- This case highlights an unusual cause of PD catheter dysfunction: retroperitoneal hematoma from endoscopic procedures.
- Awareness of this rare complication is crucial for surgeons managing PD patients.
- Effective management involves prompt diagnosis and surgical intervention to restore PD function.
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