Infected Intra-Abdominal Hematoma Associated with an Indwelling Tenckhoff Catheter

1984 ◽  
Vol 4 (4) ◽  
pp. 249-250
Author(s):  
Gregory L. Braden ◽  
Michael J. Germain ◽  
Vincent A. Guardione ◽  
John P. Fitzgibbons
Keyword(s):  
Peritoneal Dialysis ◽  
Chronic Peritoneal Dialysis ◽  
Peritoneal Catheter ◽  
Outflow Obstruction ◽  
End Stage Renal Failure ◽  
Tenckhoff Catheter ◽  
Continuous Cycling ◽  
Surgical Evacuation ◽  
Tract Infections ◽  
End Stage

Two months after cessation of continous cycling peritoneal dialysis a pa tient developed an infected intra abdominal hematoma while a Tenck hoff catheter was still present in the abdomen. The hematoma required surgical evacuation. This complication suggests that we should consider early removal of Tenckhot T catheters after successful renal transplanta tion or after switching to hemo dialysis. The chronic peritoneal catheter pioneered by Tenckhoff has made it possible to treat thousands of patients with end stage renal failure by chronic peritoneal dialysis. The complications of Tenckhoff catheters include dialysate leakage, outflow obstruction, pelvic pam, hydrothorax, dacron cuff extrusion, tract infections, combined inflow outflow obstruction, abdominal or in guinal hernias, and hydroceles (1–6). This paper describes a patient who developed abdominal pain and an in fected intra-abdominal hematoma two months after being transferred from continuous cycling peritoneal dialysis (CCPD) to hemodialysis. The appear ance of this complication two months after discontinuing peritoneal dialysis raises the question: When should one remove a Tenckhoff catheter after transfer to hemodialysis or successful renal transplantation?

18 Months Experience with a New (valli) Catheter for Peritoneal Dialysis

1983 ◽  
Vol 3 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Alberto Valli ◽  
Ugo Crescimanno ◽  
Osario Midiri ◽  
Khaled Arw ◽  
Peter Riegler ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Peritoneal Catheter ◽  
Tenckhoff Catheter ◽  
Outflow Rate ◽  
Catheter Failure ◽  
New Type ◽  
Stage Renal Disease ◽  
End Stage

The authors describe their experiences with a new type of peritoneal catheter in 45 patients with end-stage renal disease treated with intermittent (IPD) or continuous ambulatory peritoneal dialysis (CAPD) over 18 months. This new catheter consists of an abdominal part, similar in diameter to the Tenckhoff catheter but with larger holes; this part is enveloped in a silastic balloon with many holes. An important advantage of the new catheter is an outflow rate that is much higher than the Tenckhoff catheter. The incidence of malfunction was considerably reduced an d in addition, there were no cases of catheter failure due to blood or fibrin clots or wrapping by omentum.

scholarly journals Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient

2021 ◽  
pp. 314-320
Author(s):  
Vijayakumar Paramasivam ◽  
Armando Paez ◽  
Ashish Verma ◽  
Daniel Landry ◽  
Gregory L. Braden
Keyword(s):  
Peritoneal Dialysis ◽  
Peritoneal Dialysis Patient ◽  
Chronic Peritoneal Dialysis ◽  
Peritoneal Catheter ◽  
Gram Negative ◽  
Initial Symptoms ◽  
Continuous Cycling ◽  
Amoxicillin Clavulanate ◽  
Brevundimonas Vesicularis ◽  
Culture Negative

Gram-negative peritonitis in chronic peritoneal dialysis patients is difficult to treat and may result in catheter loss. <i>Brevundimonas vesicularis</i> is a Gram-negative rod bacterium which rarely causes infections in humans. A 41-year-old male receiving continuous cycling peritoneal dialysis for 5 months developed culture-negative peritonitis. He failed initial empiric treatment with intraperitoneal vancomycin and levofloxacin and thereafter intravenous gentamicin. <i>B. vesicularis</i> resistant to levofloxacin was isolated from the peritoneal fluid 21 days after his initial symptoms. Despite treatment with intravenous ceftriaxone and oral amoxicillin-clavulanate, the infection persisted, which required removal of the peritoneal catheter in order to cure this infection. We describe the features of <i>B. vesicularis</i> infection in our patient and the rarely reported additional cases.

Continuous-Cycling Peritoneal Dialysis for Children: An Alternative to Hemodialysis Treatment

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 254-258 ◽  
Author(s):  
Andrew S. Brem ◽  
Alice M. Toscano
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Growth Rates ◽  
Major Complication ◽  
Biochemical Control ◽  
End Stage Renal Failure ◽  
Form Of Life ◽  
Continuous Cycling Peritoneal Dialysis ◽  
Continuous Cycling ◽  
End Stage

Treatment of end-stage renal failure in children is invasive and prolonged. Although kidney transplantation is often the desired therapy, children usually require some form of life-sustaining dialysis until a suitable donor is found. Home continuous-cycling peritoneal dialysis (CCPD) is a useful alternative to in-center hemodialysis for these children. Adequate biochemical control of the uremic state can be achieved with continuous-cycling peritoneal dialysis. Peritonitis remains the major complication of this form of dialysis, averaging approximately one episode per 12 patient-months. Growth rates of children maintained on continuous-cycling peritoneal dialysis appear to be equivalent to growth rates of children treated with hemodialysis. The advantage of continuous-cycling peritoneal dialysis lies in the fact that exchanges occur during the evening hours and parental intervention is minimized.

Acute Hydrothorax Complicating Peritoneal Dialysis

2007 ◽  
Vol 27 (3) ◽  
pp. 296-299 ◽  
Author(s):  
Rajesh G. Krishnan ◽  
Milos V. Ognjanovic ◽  
Jean Crosier ◽  
Malcolm G. Coulthard
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Chronic Peritoneal Dialysis ◽  
Single Center ◽  
Exact Test ◽  
Peritoneal Dialysate ◽  
End Stage Renal Failure ◽  
Fill Volume ◽  
Term Baby ◽  
End Stage

Aim To determine whether gradually increasing the peritoneal dialysate fill volume from 10 to 40 mL/kg over 6 days, rather than commencing at 40 mL/kg, prevents hydrothorax in children and reverses it if present. Methods A review of children peritoneally dialyzed in a single center. Results During the 20 years beginning June 1985, 416 children were peritoneally dialyzed, of which 327 (79%) had acute and 89 had end-stage renal failure. Among 253 children who had gradually increasing fill volumes, none developed acute hydrothoraces, but 13/163 (8%) who began with 40 mL/kg cycles did ( p < 0.000, Fisher's exact test). These were diagnosed after a median (range) of 48 (6 – 72) hours and were predominantly right sided. Initially, we readily abandoned peritoneal dialysis; 2 were changed to hemodialysis. Subsequently, we found that peritoneal dialysis could be continued by using small volumes with the patients sitting up; cycle volumes were then gradually increased again. One pre-term baby died soon after developing an acute hydrothorax. One patient on chronic peritoneal dialysis developed an acute hydrothorax after forceful vomiting, but recovered after being dialyzed sitting up with low fills. Conclusion Acute hydrothorax can be prevented and treated using graduated cycle volumes, and is not a contraindication for peritoneal dialysis.

scholarly journals Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience

2020 ◽  
Vol 3 (1) ◽  
pp. 27-35
Author(s):  
Meryem Benbella ◽  
Aziza Guennoun ◽  
Mohamed Belrhiti ◽  
Tarik Bouattar ◽  
Rabia Bayahia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Retrospective Study ◽  
Infectious Complications ◽  
Dialysis Modality ◽  
Ibn Sina ◽  
End Stage Renal Failure ◽  
End Stage

Introduction:  The choice of dialysis modality has become an important decision that affects not only the country's health policy in the management of chronic end stage renal failure, but also the quality of life of patients and their survival. Peritoneal dialysis is an alternative for the treatment of these patients. The objective of our work is to report the epidemiological, clinical and biological results in the unit of PD, UHC of Rabat and to clarify the obstacles to the development of PD in Morocco.  Material and Methods:  We conducted a descriptive retrospective study in our PD unit from July 2006 to July 2017, including all patients who were in PD by choice or necessity and enrolled in the French Peritoneal Dialysis Registry (RDPLF).  Results: In 10 years, 159 patients were placed in PD, with an average age of 50.44 +/- 17.42 years and a sex ratio of 1.36. The indication for placement of setting in PD was by choice in 34% of the cases, social in 52% and medical in 14% of cases. Mechanical complications were dominated by catheter migrations. Infectious complications were represented by peritonitis, caused by poor of hygiene in 42% of cases. Conclusion: The obstacles to the development of PD are the lack of knowledge of the technique by the patients, as well as the prejudices or myths about the technique.

scholarly journals Serum albumin and mortality in patients with HIV and end-stage renal failure on peritoneal dialysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218156
Author(s):  
Kwazi Celani Zwakele Ndlovu ◽  
Perpetual Chikobvu ◽  
Thabiso Mofokeng ◽  
Verena Gounden ◽  
Alain Assounga
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Serum Albumin ◽  
End Stage Renal Failure ◽  
End Stage

INTERMITTENT PERITONEAL DIALYSIS IN THE TREATMENT OF END‐STAGE RENAL FAILURE

1979 ◽  
Vol 2 (8) ◽  
pp. 393-397 ◽  
Author(s):  
Rowan G. Walker ◽  
Robert C. Atkins ◽  
Napier M. Thomson ◽  
David F. Scott
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
End Stage Renal Failure ◽  
End Stage

scholarly journals Renal angiomyolipomatosis and bleeding aneurysms in a tuberous sclerosis context: selective artery embolization in a girl with end-stage renal failure

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Gloria Pelizzo ◽  
Mario Giuseppe Vallone ◽  
Mario Milazzo ◽  
Gregorio Rosone ◽  
Salvatore Amoroso ◽  
...  
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Tuberous Sclerosis ◽  
Therapeutic Option ◽  
Endovascular Embolization ◽  
End Stage Renal Failure ◽  
Renal Aneurysm ◽  
Recent Developments ◽  
The Right ◽  
End Stage

Recent developments in endovascular radiological techniques and devices have rendered embolization a major therapeutic option prior to surgery in many renal vascular or neoplastic diseases. A 19-yearold female patient, with a diagnosis of tuberous sclerosis complex (TSC) in childhood, was admitted with severe anemia. Polycystic kidney disease in end-stage renal failure appeared four years before and the patient has been undergoing peritoneal dialysis. The patient’s medical history also included bilateral renal angiomyolipomas (AMLs). One year earlier, a unilateral endovascular embolization was performed to repair a bleeding aneurysm at the right renal upper pole. A second bilateral ruptured renal aneurysm was diagnosed at admission. To continue with peritoneal dialysis and prevent intrarenal hemorrhage and intraperitonal bleeding, an urgent bilateral renal AE was performed. Two months later she underwent a bilateral retroperitoneal nephrectomy. The posterior surgical approach, preserved the peritoneal surface area and adequate conditions to continue dialysis. At histology, bilateral AMLs were confirmed and a renal cell carcinoma of the right kidney was concurrently discovered. She undergoes continuous peritoneal dialysis. Urgent selective renal AE represents a feasible treatment for bilateral AML bleeding. It is safe and feasible before performing nephrectomy in patients with end-stage renal failure.

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