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

BACKGROUND: Intestinal perforation from peritoneal dialysis is rare, but the resulting complications are serious. Some patients do not necessarily have symptoms, and it can be difficult to differentiate their condition from PD-related (peritoneal dialysis-related) peritonitis, which may lead to misd...

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Autores principales: Shao, Qiuyuan, Xia, Yangyang, Zhang, Qingyan, Zhang, Miao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245831/
https://www.ncbi.nlm.nih.gov/pubmed/32448191
http://dx.doi.org/10.1186/s12876-020-01303-1
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author Shao, Qiuyuan
Xia, Yangyang
Zhang, Qingyan
Zhang, Miao
author_facet Shao, Qiuyuan
Xia, Yangyang
Zhang, Qingyan
Zhang, Miao
author_sort Shao, Qiuyuan
collection PubMed
description BACKGROUND: Intestinal perforation from peritoneal dialysis is rare, but the resulting complications are serious. Some patients do not necessarily have symptoms, and it can be difficult to differentiate their condition from PD-related (peritoneal dialysis-related) peritonitis, which may lead to misdiagnosis. Here we report a peritoneal dialysis patient with intestinal fistula associated with recurrent peritonitis. CASE PRESENTATION: A 44-year-old man had been treated for more than 6 years with peritoneal dialysis for chronic kidney disease stage-V. Abdominal computed tomography and electronic colonoscopy revealed an appendiceal fossa with adjacent fistula. The peritoneal dialysis catheter was removed, and the patient recovered with no recurrence of complications. CONCLUSION: We report a case of a rare complication of peritoneal dialysis. The intestinal fistula in this patient was mainly caused by recurrent peritonitis and removal of the catheter could control the peritonitis.
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spelling pubmed-72458312020-06-01 Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report Shao, Qiuyuan Xia, Yangyang Zhang, Qingyan Zhang, Miao BMC Gastroenterol Case Report BACKGROUND: Intestinal perforation from peritoneal dialysis is rare, but the resulting complications are serious. Some patients do not necessarily have symptoms, and it can be difficult to differentiate their condition from PD-related (peritoneal dialysis-related) peritonitis, which may lead to misdiagnosis. Here we report a peritoneal dialysis patient with intestinal fistula associated with recurrent peritonitis. CASE PRESENTATION: A 44-year-old man had been treated for more than 6 years with peritoneal dialysis for chronic kidney disease stage-V. Abdominal computed tomography and electronic colonoscopy revealed an appendiceal fossa with adjacent fistula. The peritoneal dialysis catheter was removed, and the patient recovered with no recurrence of complications. CONCLUSION: We report a case of a rare complication of peritoneal dialysis. The intestinal fistula in this patient was mainly caused by recurrent peritonitis and removal of the catheter could control the peritonitis. BioMed Central 2020-05-24 /pmc/articles/PMC7245831/ /pubmed/32448191 http://dx.doi.org/10.1186/s12876-020-01303-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Shao, Qiuyuan
Xia, Yangyang
Zhang, Qingyan
Zhang, Miao
Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title_full Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title_fullStr Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title_full_unstemmed Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title_short Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
title_sort intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245831/
https://www.ncbi.nlm.nih.gov/pubmed/32448191
http://dx.doi.org/10.1186/s12876-020-01303-1
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AT xiayangyang intestinalfistulaaccompaniedbyrecurrentperitonitisassociatedwithperitonealdialysisacasereport
AT zhangqingyan intestinalfistulaaccompaniedbyrecurrentperitonitisassociatedwithperitonealdialysisacasereport
AT zhangmiao intestinalfistulaaccompaniedbyrecurrentperitonitisassociatedwithperitonealdialysisacasereport

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