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Published on: July 19, 2018
Spontaneous dislodgment of a peritoneal dialysis catheter inserted using the Seldinger technique: A case report
Ruo-Yu Wu1, Yao Tan2, Hang Li3
1School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China.
Background:
Peritoneal dialysis (PD) is an important renal replacement therapy in patients with end-stage renal disease. PD catheters remain the lifeline for patients undergoing PD. The catheter technique survival rate is considered a core PD outcome domain.
Case Summary:
The PD catheter spontaneously dislodged in a patient undergoing PD during regular fluid exchange without pain. Abdominal computed tomography showed a tunnel infection. A double-cuff straight Tenckhoff catheter had been inserted using the Seldinger technique. Before this incident, the patient had a history of tunnel infections. We speculate that recurrent tunnel infections and catheter insertion using the Seldinger technique may have led to catheter dislodgement.
Conclusion:
The present case suggests that clinicians should more rigorously assess the persistence of catheter-related infections concerning the potential complications arising from catheter dislodgement associated with the Seldinger technique.
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