Retroperitoneal Hematoma Causing Peritoneal Dialysis Catheter Malfunction.
BACKGROUND
We present the unusual complication of peritoneal dialysis catheter dysfunction in a patient who developed a retroperitoneal hematoma following an endoscopic procedure and review the existing literature regarding this rare complication.


METHODS
A 60-year-old male with end stage renal disease presented with PD catheter dysfunction. A computerized tomography scan of his abdomen showed a large left retroperitoneal hematoma. He underwent a diagnostic laparoscopy and PD catheter revision. The retroperitoneal hematoma had ruptured into the peritoneum with clots clogging the catheter. Clots were evacuated and the catheter was flushed. He restarted on low--volume PD three days after surgery and increased to full-volume within a week with no further issues.


CONCLUSIONS
This case summarizes the unusual complication of a retroperitoneal bleed from an endoscopic procedure which manifested as PD catheter dysfunction. The increasing utilization of PD catheters requires surgeons remain aware of potential complications.
Tulane University Department of Surgery, New Orleans.
Alison A
AA
Smith
Tulane University Department of Surgery, New Orleans.
Adam N
AN
Fonseca
Louisiana State University Department of Nephrology, New Orleans, LA.
Mihran V
MV
Naljayan
Tulane University Transplant Institute, New Orleans, LA.
Anil S
AS
Paramesh
D002404:Catheterization; D057785:Catheters / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D004868:Equipment Failure; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D012086:Reoperation; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed