Related Experiment Video

Updated: Dec 20, 2025

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
04:31

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

389

Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report

Qiuyuan Shao1, Yangyang Xia2, Qingyan Zhang2

  • 1Department of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China. 372203051@QQ.com.

BMC Gastroenterology
|May 26, 2020
PubMed
Abstract

Insights

Peritoneal dialysis (PD) can rarely cause intestinal fistulas, often mistaken for PD-related peritonitis. Prompt diagnosis and catheter removal are crucial for managing this rare complication.

Area of Science:

  • Nephrology
  • Gastroenterology
  • Surgical Complications

Background:

  • Intestinal perforation is a rare but serious complication of peritoneal dialysis (PD).
  • Differentiating intestinal perforation from PD-related peritonitis can be challenging due to overlapping symptoms.
  • Recurrent peritonitis is a potential precursor to intestinal fistula formation in PD patients.

Observation:

  • A 44-year-old male on chronic peritoneal dialysis for over six years presented with recurrent peritonitis.
  • Diagnostic imaging, including abdominal CT and colonoscopy, identified an appendiceal fistula.
  • The patient had an appendiceal fossa with an adjacent fistula.

Findings:

  • The patient's intestinal fistula was primarily attributed to recurrent peritonitis.
  • Removal of the peritoneal dialysis catheter led to the resolution of peritonitis.
  • The patient recovered without further complications after catheter removal.

Implications:

  • This case highlights the importance of considering intestinal perforation in PD patients with recurrent peritonitis.
  • Early diagnosis and intervention, including catheter removal, can effectively manage this rare PD complication.
  • Awareness of this complication is vital for nephrologists and dialysis centers to improve patient outcomes.
Keywords:
Chronic kidney diseaseComputed tomographyElectronic colonoscopyIntestinal fistulaPeritoneal dialysis

More Related Videos

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

3.0K
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

1.6K

Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
327
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
484
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
689
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
353
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
1.6K
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
944