Spontaneous dislodgment of a peritoneal dialysis catheter inserted using the Seldinger technique: A case report

Ruo-Yu Wu; Yao Tan; Hang Li; Yu-Rong Zou; Xiu-Ling Chen; Jin Chen

doi:10.12998/wjcc.v12.i21.4789

Spontaneous dislodgment of a peritoneal dialysis catheter inserted using the Seldinger technique: A case report

World J Clin Cases. 2024 Jul 26;12(21):4789-4793. doi: 10.12998/wjcc.v12.i21.4789.

Authors

Ruo-Yu Wu¹, Yao Tan², Hang Li³, Yu-Rong Zou⁴, Xiu-Ling Chen⁴, Jin Chen⁵

Affiliations

¹ School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China.
² Department of Nephrology, Anzhou District People's Hospital, Mianyang 62100, Sichuan Province, China.
³ Department of Radiology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China.
⁴ Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Sichuan Clinical Research Center for Kidney Diseases, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China.
⁵ Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Sichuan Clinical Research Center for Kidney Diseases, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610000, Sichuan Province, China. [email protected].

Abstract

Background: Peritoneal dialysis (PD) is an important renal replacement therapy in patients with end-stage renal disease. PD catheters remain the lifeline for patients undergoing PD. The catheter technique survival rate is considered a core PD outcome domain.

Case summary: The PD catheter spontaneously dislodged in a patient undergoing PD during regular fluid exchange without pain. Abdominal computed tomography showed a tunnel infection. A double-cuff straight Tenckhoff catheter had been inserted using the Seldinger technique. Before this incident, the patient had a history of tunnel infections. We speculate that recurrent tunnel infections and catheter insertion using the Seldinger technique may have led to catheter dislodgement.

Conclusion: The present case suggests that clinicians should more rigorously assess the persistence of catheter-related infections concerning the potential complications arising from catheter dislodgement associated with the Seldinger technique.

Keywords: Catheter; Dislodgment; Infection; Peritoneal dialysis, Case report; Seldinger technique.

Publication types

Case Reports