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International Journal of Clinical and Diagnostic Research
ISSN (Print): 2395-3403 ISSN (Online): 2395-3403 Website: https://www.sciepub.com/journal/ijcdr Editor-in-chief: Apply for this position
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International Journal of Clinical and Diagnostic Research. 2019, 7(5), 116-119
DOI: 10.12691/ijcdr-7-5-2
Open AccessArticle

MIGRATING CAPD CATHETER LEADING TO ASCENDING COLON PERFORATION: A CASE REPORT

Dipak Vasant Patil1, , Guliver Potsangbam2, Goldie Longjam3 and Ajit Lukram4

1Department of General Medicine, Shija Hospitals and Research Institute (SHRI), Imphal, Manipur

2Department of Nephrology, Shija Hospitals and Research Institute (SHRI), Imphal, Manipur

3Department of Gastroenterology, Shija Hospitals and Research Institute (SHRI), Imphal, Manipur

4Department of General Surgery, Shija Hospitals and Research Institute (SHRI), Imphal, Manipur

Pub. Date: October 17, 2019
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Cite this paper:
Dipak Vasant Patil, Guliver Potsangbam, Goldie Longjam and Ajit Lukram. MIGRATING CAPD CATHETER LEADING TO ASCENDING COLON PERFORATION: A CASE REPORT. International Journal of Clinical and Diagnostic Research. 2019; 7(5):116-119. doi: 10.12691/ijcdr-7-5-2

Abstract

Peritoneal dialysis (PD) is a well-established form of renal replacement therapy, and most of the time catheter is left in situ even after cessation of PD. In situ catheter may lead to bowel perforation. Here, we present a case of migrating Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter perforating the ascending colon; clinically presenting as oozing of maroon coloured stool from colostomy opening. A 53-year male with CKD & colostomy, initially on PD then on haemodialysis presented with sudden onset pain in abdomen and passage of maroon coloured stool from colostomy opening (done for colorectal cancer). Colonoscopy done showed CAPD catheter migrated to the ascending colon and had perforated remaining ascending colon. Laparotomy and catheter removal improved the condition of patient with no further complications. We want to emphasise that bowel perforation may occur in remaining colon after colostomy. Early diagnosis and treatment can save the life of patient and CAPD catheter should be removed when not in use.

Keywords:
Peritoneal Dialysis Colostomy Colon Perforation Laparotomy Catheter removal

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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