Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2022; 10(19): 6501-6506
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6501
Sustained dialysis with misplaced peritoneal dialysis catheter outside peritoneum: A case report
Quan-Quan Shen, Tapas Ranjan Behera, Liang-Liang Chen, Doaa Attia, Fei Han
Quan-Quan Shen, Liang-Liang Chen, Fei Han, Kidney Disease Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
Quan-Quan Shen, Liang-Liang Chen, Fei Han, Institute of Nephrology, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Quan-Quan Shen, Liang-Liang Chen, Fei Han, Key Laboratory of Kidney Disease Prevention and Control Technology, Hangzhou 310003, Zhejiang Province, China
Quan-Quan Shen, Nephrology Center, Department of Nephrology, Zhejiang Provincial People’s Hospital, The Affiliated People’s Hospital, Hangzhou Medical College, Hangzhou 310014, Zhejiang Province, China
Tapas Ranjan Behera, Doaa Attia, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, United States
Author contributions: Shen QQ and Behera TR drafted the manuscript; Chen LL and Attia D conducted the literature review; Han F, Behera TR and Attia D revised the manuscript; All authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 81900692.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and the accompanying images.
Conflict-of-interest statement: The authors declare to have no conflict of interest.
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: Fei Han, MD, Professor, Kidney Disease Center, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Shangcheng District, Hangzhou 310003, Zhejiang Province, China. hanf8876@zju.edu.cn
Received: August 2, 2021
Peer-review started: August 2, 2021
First decision: November 6, 2021
Revised: November 15, 2021
Accepted: May 12, 2022
Article in press: May 12, 2022
Published online: July 6, 2022
Core Tip

Core Tip: We present the case of a 61-year-old man undergoing prolonged peritoneal dialysis for 4 years who had the peritoneal dialysis catheter tip mispositioned outside the peritoneal cavity. Despite the prolonged dialysis with the misplaced catheter tip, the patient was able to sustain his dialysis adequacy without developing edema of the perineal, scrotal or abdominal muscles. This is the first case report describing this unique location of the catheter tip between the peritoneum and transversalis fascia that prevented early complication of dialysate migrating into the muscle causing edema while simultaneously allowing a sustainable dialysis through the available peritoneal surface.