Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7054-7059
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7054
Bladder perforation injury after percutaneous peritoneal dialysis catheterization: A case report
Chun-Xia Shi, Zhong-Xin Li, Hai-Tao Sun, Wu-Qing Sun, Yu Ji, Shu-Jing Jia
Chun-Xia Shi, Zhong-Xin Li, Department of Nephrology, Beijing Luhe Hospital Affiliated to Capital Medical University, Beijing 101149, China
Hai-Tao Sun, Wu-Qing Sun, Yu Ji, Department of General Surgery, Beijing Luhe Hospital Affiliated to Capital Medical University, Beijing 101149, China
Shu-Jing Jia, Department of Medicine, Beijing Shuangqiao Hospital, Beijing 100121, China
Author contributions: Shi CX and Li ZX participated in the design of the report, analyzed the data, and wrote the paper; Sun HT, Sun WQ, Ji Y, and Jia SJ collected the data during the study.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: 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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhong-Xin Li, MD, Chief Doctor, Department of Nephrology, Beijing Luhe Hospital Affiliated to Capital Medical University, No. 82 Xinhua South Road, Tongzhou District, Beijing 101149, China. lhyy6806@ccmu.edu.cn
Received: December 20, 2021
Peer-review started: December 20, 2021
First decision: January 25, 2022
Revised: February 2, 2022
Accepted: May 22, 2022
Article in press: May 22, 2022
Published online: July 16, 2022
Processing time: 196 Days and 9.2 Hours
Abstract
BACKGROUND

Insertion of a catheter into the bladder is a rare complication of peritoneal dialysis (PD), and is mainly related to surgical injury. This paper reports a case of bladder perforation that was caused by percutaneous PD catheterization.

CASE SUMMARY

A 64-year-old man underwent percutaneous PD catheterization for end-stage renal disease. On the second day after the operation, urgent urination and gross hematuria occurred. Urinalysis showed the presence of red and white blood cells. Empirical anti-infective treatment was given. On the third day after the operation, urgent urination occurred during PD perfusion. Ultrasound showed that the PD catheter was located in the bladder, and subsequent computed tomography (CT) showed that the PD catheter moved through the anterior wall into the bladder. The PD catheter was withdrawn from the bladder and catheterization was retained. Repeat CT on the fourth day after the operation showed that the PD catheter was removed from the bladder, but there was poor catheter function. The PD catheter was removed and the patient was changed to hemodialysis. CT cystography showed that the bladder healed well and the patient was discharged 14 d after the operation.

CONCLUSION

Bladder perforation injury should be considered and treated timeously in case of bladder irritation during and after percutaneous PD catheterization. The use of Doppler ultrasound and other related technologies may reduce the incidence of such complications.

Keywords: Bladder perforation; Peritoneal dialysis; Percutaneous peritoneal dialysis catheterization; Peritoneal dialysis catheter dysfunction; Case report

Core Tip: For percutaneous peritoneal dialysis catheterization, it is necessary to understand the bladder filling in time during the perioperative period. For patients with intraoperative and postoperative bladder irritation, bladder perforation injury should be considered, which can be treated by indwelling catheterization and cystography to determine the degree of bladder healing.