Cargando…
Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report
BACKGROUND: Abdominal hemorrhage is a complication of peritoneal dialysis catheter (PDC) insertion that cannot be neglected, and its causes are mainly related to surgical injury. This article reports a case of massive abdominal hemorrhage that was caused by a rare rupture of corpus luteum shortly af...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362553/ https://www.ncbi.nlm.nih.gov/pubmed/34435019 http://dx.doi.org/10.12998/wjcc.v9.i22.6510 |
_version_ | 1783738188262539264 |
---|---|
author | Gan, Lin-Wang Li, Qian-Cheng Yu, Zhao-Lan Zhang, Li-Ling Liu, Qi Li, Ying Ou, San-Tao |
author_facet | Gan, Lin-Wang Li, Qian-Cheng Yu, Zhao-Lan Zhang, Li-Ling Liu, Qi Li, Ying Ou, San-Tao |
author_sort | Gan, Lin-Wang |
collection | PubMed |
description | BACKGROUND: Abdominal hemorrhage is a complication of peritoneal dialysis catheter (PDC) insertion that cannot be neglected, and its causes are mainly related to surgical injury. This article reports a case of massive abdominal hemorrhage that was caused by a rare rupture of corpus luteum shortly after PDC during the initiation of peritoneal dialysis (PD) insertion. CASE SUMMARY: A 37-year-old woman was surgically placed a Tenckhoff catheter because of end-stage renal disease. On the third postoperative day, the color of the abdominal drainage fluid was pink, and deepened gradually. It turned pale after initiating conservative treatment. On the tenth postoperative day, the color of the abdominal drainage fluid suddenly turned dark red, and the color progressively deepened. The patient’s hemoglobin dropped from 88 g/L to 57 g/L. Abdominal computed tomography (CT) indicated abdominal effusion and a high-density shadow in the abdominal cavity. The surgeon performed a laparotomy and found that the corpus luteum had ruptured on the right side and a left ovarian blood body had formed. The gynecologist repaired the ovary and performed a bilateral oophoroplasty. After the operation, the patient stopped bleeding and hemodialysis was temporarily stopped. PD was resumed after half a month. The patient’s condition improved, and she was discharged 14 d after the laparotomy. CONCLUSION: If abdominal hemorrhage occurs in women of childbearing age after PDC insertion, luteal rupture should be considered as the cause. |
format | Online Article Text |
id | pubmed-8362553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-83625532021-08-24 Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report Gan, Lin-Wang Li, Qian-Cheng Yu, Zhao-Lan Zhang, Li-Ling Liu, Qi Li, Ying Ou, San-Tao World J Clin Cases Case Report BACKGROUND: Abdominal hemorrhage is a complication of peritoneal dialysis catheter (PDC) insertion that cannot be neglected, and its causes are mainly related to surgical injury. This article reports a case of massive abdominal hemorrhage that was caused by a rare rupture of corpus luteum shortly after PDC during the initiation of peritoneal dialysis (PD) insertion. CASE SUMMARY: A 37-year-old woman was surgically placed a Tenckhoff catheter because of end-stage renal disease. On the third postoperative day, the color of the abdominal drainage fluid was pink, and deepened gradually. It turned pale after initiating conservative treatment. On the tenth postoperative day, the color of the abdominal drainage fluid suddenly turned dark red, and the color progressively deepened. The patient’s hemoglobin dropped from 88 g/L to 57 g/L. Abdominal computed tomography (CT) indicated abdominal effusion and a high-density shadow in the abdominal cavity. The surgeon performed a laparotomy and found that the corpus luteum had ruptured on the right side and a left ovarian blood body had formed. The gynecologist repaired the ovary and performed a bilateral oophoroplasty. After the operation, the patient stopped bleeding and hemodialysis was temporarily stopped. PD was resumed after half a month. The patient’s condition improved, and she was discharged 14 d after the laparotomy. CONCLUSION: If abdominal hemorrhage occurs in women of childbearing age after PDC insertion, luteal rupture should be considered as the cause. Baishideng Publishing Group Inc 2021-08-06 2021-08-06 /pmc/articles/PMC8362553/ /pubmed/34435019 http://dx.doi.org/10.12998/wjcc.v9.i22.6510 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Gan, Lin-Wang Li, Qian-Cheng Yu, Zhao-Lan Zhang, Li-Ling Liu, Qi Li, Ying Ou, San-Tao Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title | Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title_full | Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title_fullStr | Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title_full_unstemmed | Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title_short | Abdominal hemorrhage after peritoneal dialysis catheter insertion: A rare cause of luteal rupture: A case report |
title_sort | abdominal hemorrhage after peritoneal dialysis catheter insertion: a rare cause of luteal rupture: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362553/ https://www.ncbi.nlm.nih.gov/pubmed/34435019 http://dx.doi.org/10.12998/wjcc.v9.i22.6510 |
work_keys_str_mv | AT ganlinwang abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT liqiancheng abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT yuzhaolan abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT zhangliling abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT liuqi abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT liying abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport AT ousantao abdominalhemorrhageafterperitonealdialysiscatheterinsertionararecauseoflutealruptureacasereport |