title: Supportive treatment of delayed perforated colon due to peritoneal dialysis catheterization.
abstract: BACKGROUND
  One of uncommon complications in patients with peritoneal catheter is colon rupture which usually occurs during catheter insertion. In this paper, we present a case of delayed perforated colon following insertion of peritoneal catheter.
  
  
  METHODS
  A 37-year-old man was suffering from chronic renal failure (CRF). Nine months after peritoneal catheterization, peritoneal dialysis was initiated for him. Dialysis fluid was introduced in the abdomen and severe watery diarrhea appeared. Due to intolerable symptoms (pain and severe watery diarrhea) he was referred to our hospital. By obtaining clinical history and physical examination, with suspicion to probable perforated colon, abdominal radiography with contrast through peritoneal catheter was performed. In his radiography, the catheter was detected in cecum. The patient underwent supportive treatment and the catheter was removed without laparotomy. The symptoms improved with antibiotic therapy, intravenous feeding and initiated bowel rest via NPO (nothing per oral) and he was discharged after 10 days with good general condition.
  
  
  CONCLUSIONS
  According to our presentation, it seems that in patients with catheter dysfunction, peritoneal catheter should be immediately removed to prevent colonic perforation.
authors.affiliation: Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Kachoie
authors.affiliation: Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Saied
authors.initials: S
authors.lastname: Safari
authors.affiliation: Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Hosseinzadeh
authors.affiliation: Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Jamshid
authors.initials: J
authors.lastname: Vafaeimanesh
keywords: Bowel perforation.; Catheter; Chronic renal failure; Peritoneal dialysis; Supportive treatment