Browse > Article
http://dx.doi.org/10.3904/kjm.2012.83.2.254

Iatrogenic Bladder Perforation During Catheter Implantation for Peritoneal Dialysis in a Patient with Diabetic Neurogenic Bladder  

Choi, Yoon-Jung (Department of Internal Medicine, Yeungnam University College of Medicine)
Do, Jun-Young (Department of Internal Medicine, Yeungnam University College of Medicine)
Park, Jong-Won (Department of Internal Medicine, Yeungnam University College of Medicine)
Publication Information
The Korean Journal of Medicine / v.83, no.2, 2012 , pp. 254-257 More about this Journal
Abstract
We report herein a case of iatrogenic intraperitoneal bladder perforation during catheter implantation for peritoneal dialysis (PD) in a patient with neurogenic urinary bladder. A 63-year-old man with diabetes and end-stage renal disease due to ischemic acute kidney injury was admitted for PD catheter implantation. After the procedure, the drained dialysate volume was less than the infused dialysate volume, and the remainder was drained through the urethral catheter. Intraperitoneal bladder perforation was confirmed by retrograde computed tomographic cystography. Because the PD catheter was removed, the patient was treated with urethral catheter drainage and prophylactic antibiotics. Fourteen days after PD catheter removal, voiding cystourethrography was performed. There were no signs of extravasation, and the integrity of the bladder was confirmed.
Keywords
Peritoneal dialysis; Neurogenic bladder; Complications;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Moist LM, Port FK, Orzol SM, et al. Predictors of loss of residual renal function among new dialysis patients. J Am Soc Nephrol 2000;11:556-564.
2 Tiong HY, Poh J, Sunderaraj K, Wu YJ, Consigliere DT. Surgical complications of Tenckhoff catheters used in continuous ambulatory peritoneal dialysis. Singapore Med J 2006;47:707-711.
3 Peppelenbosch A, Kuij KW, Bouvy ND, Sande FM, Tordoir: Peritoneal dialysis catheter placement technique and complications. NDT Plus 2008;1(Suppl 4):iv23-iv28.
4 ESRD Registry Committee, Korean Society of Nephrology. Current renal replacement therapy in Korea-Insan Memorial Dialysis Registry, 2009. Korean J Nephrol 2009;28: S525-S551.
5 Cass AS. Diagnostic studies in bladder rupture: indications and techiniques. Urol Clin North Am 1989;16:267-273.
6 Corriere JN Jr, Sandler CM. Mechanisms of injury, patterns of extravasation and management of extraperitoneal bladder rupture due to blunt trauma. J Urol 1988;139:43-44.
7 Pansadoro A, Franco G, Laurenti C, Pansadoro V. Conservative treatment of intraperitoneal bladder perforation during transurethral resection of bladder tumor. Urology 2002;60:682-684.   DOI   ScienceOn
8 Manikandan R, Lynch N, Grills RJ. Percutaneous peritoneal drainage for intraperitoneal bladder perforations during transurethral resection of bladder tumors. J Endourol 2003; 17:945-947.   DOI   ScienceOn
9 Alperin M, Mantia-Smaldone G, Sagan ER. Conservative management of postoperatively diagnosed cystotomy. Urology 2009;73:1163. e17-e19.   DOI   ScienceOn
10 Chung BC, Choi CI, Kim KW, et al. Diagnosis of urinary bladder dysfunction by radionuclide urodynamic study in patients with diabetes mellitus. Korean J Med 1992;42: 306-314.