HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kazory, A. Articles by Ross, E. A. Search for Related Content PubMed PubMed Citation Articles by Kazory, A. Articles by Ross, E. A.

Primary Malfunction of a Peritoneal Dialysis Catheter Due to Encasement in an Encapsulating Sheath

Division of Nephrology, Hypertension, and Transplantation¹ Department of Surgery² University of Florida Gainesville, Florida, USA

^* e-mail: Rossea{at}medicine.ufl.edu

Obstruction of the catheter is one of the potentially serious complications of peritoneal dialysis. Dislocation of the tip of the catheter, intraluminal fibrin formation, and omental wrapping are among the most common etiologies of peritoneal dialysis catheter malfunction that necessitate correction. Here we present a rare case of primary malfunction of a newly placed catheter in which multiple attempts to restore the patency by minimally invasive procedures were unsuccessful. Laparoscopy revealed a thick encapsulating sheath around the entire length of the catheter as the etiology of complete obstruction, without involvement of other intra-abdominal structures. The sheath was opened and the catheter was pulled out in its entirety. There was no intraluminal or orifice obstruction and it subsequently functioned perfectly.

KEY WORDS: Catheter malfunction; encapsulation; fibrin.

Copyright © 2007 by Multimed Inc.