Delayed bowel perforation after instilling over warmed peritoneal dialysate
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Updated: Nov 8, 2025

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Xueli Lai1, Mingming Nie2, Xiaodong Xu3
1Department of Nephrology, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, P.R. China.
Background:
Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare.
Case Presentation:
We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines.
Conclusions:
Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients.
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