Related Experiment Video
Updated: Sep 26, 2025
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
650
Small Bowel Obstruction with a Transition Point in a Patient on Peritoneal Dialysis
Babak S Jazayeri-Moghadass1, Ryan Sutherland2, Lakir D Patel2
1Division of Nephrology, Departments of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Case Reports in Nephrology and Dialysis
|April 18, 2022
Summary
Small bowel obstruction (SBO) is a rare complication of peritoneal dialysis (PD). This case shows omental adhesions around the PD catheter causing mechanical obstruction, highlighting PD access challenges.
Area of Science:
- Nephrology
- Gastroenterology
- Surgical Complications
Background:
- Peritoneal dialysis (PD) is a treatment for end-stage renal disease.
- Small bowel obstruction (SBO) is an uncommon complication of PD, often associated with encapsulating peritoneal sclerosis.
- PD access requires careful management to prevent complications.
Observation:
- A 71-year-old female on PD presented with syncopal episodes and altered mental status.
- Abdominal CT revealed SBO with a transition point near the PD catheter.
- Laparoscopy showed omental adhesions around the PD catheter causing the obstruction.
Findings:
- Mechanical obstruction of the small bowel was caused by omental adhesions around the PD catheter.
- No direct intestinal adhesion was observed.
- Laparoscopic dissection of adhesions and PD catheter removal resolved the obstruction.
Implications:
- This case underscores the potential for PD catheter-related complications, specifically mechanical SBO due to adhesions.
- Highlights the importance of vigilant monitoring for SBO in PD patients.
- Emphasizes the challenges and considerations for PD access management.
Related Concept Videos
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
119
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...
119
01:30Peritoneal Dialysis I: Introduction and Procedure
321
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...
321
01:25Peritoneal Dialysis III: Nursing Management
179
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...
179
01:21Inflammatory Bowel Disease V: Surgical Management
239
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:
Here are some common surgical interventions for IBD:
239
01:24Hemodialysis II: Procedure and Complications
158
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
158