Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4789
Revised: May 21, 2024
Accepted: June 11, 2024
Published online: July 26, 2024
Processing time: 84 Days and 20.8 Hours
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.
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.
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.
Core Tip: This study reports a unique case of spontaneous dislodgement of a peritoneal dialysis catheter, probably attributed to recurrent tunnel infections and the Seldinger insertion technique. This highlights the necessity for rigorous assessment of catheter-related infections to prevent the severe complication of catheter dislodgement. This case suggests that complications may arise from catheter placement using the Seldinger technique.