A Rare Complication During Percutaneous Peritoneal Dialysis Catheter Insertion: Intravesical Placement

Area of Science:

• Nephrology
• Urology
• Medical Devices

Background:

• Peritoneal dialysis (PD) is a vital treatment for end-stage renal failure, requiring abdominal catheter placement.
• Catheter insertion can be surgical, laparoscopic, or percutaneous, each with potential complications.
• Accidental bladder insertion of a PD catheter is a rare but documented complication.

Observation:

• This case report details a patient experiencing accidental percutaneous insertion of a PD catheter into the urinary bladder.
• The complication was identified and managed under ultrasonography guidance.
• The catheter was repositioned from the bladder into the intra-abdominal cavity.

Findings:

• Successful repositioning of the inadvertently placed bladder catheter into the peritoneal cavity was achieved.
• No immediate or short-term complications arose from the bladder perforation or catheter repositioning.
• The patient was able to commence PD treatment as planned.

Implications:

• This case highlights the importance of vigilance and ultrasonography in percutaneous PD catheter placement.
• It demonstrates a successful management strategy for rare catheter misplacement complications.
• This report contributes to the limited literature on PD catheter intravesical insertion and its resolution.