Retroperitoneal Hematoma Causing Peritoneal Dialysis Catheter Malfunction

Area of Science:

• Nephrology
• Gastroenterology
• Surgical Complications

Background:

• Peritoneal dialysis (PD) is a vital treatment for end-stage renal disease.
• Catheter dysfunction is a known complication of PD.
• Retroperitoneal hematomas are rare but serious complications.

Observation:

• A 60-year-old male 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:

• Surgical exploration revealed clots clogging the PD catheter due to the retroperitoneal hematoma.
• The PD catheter was revised, and clots were evacuated.
• The patient successfully resumed PD therapy within a week post-surgery.

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.
• Early diagnosis and surgical management can effectively restore PD catheter function.