Korean J Med.  2012 Aug;83(2):254-257.

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

Affiliations
  • 1Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. jwpark@med.yu.ac.kr

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.

Keyword

Peritoneal dialysis; Neurogenic bladder; Complications
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