HANY M EL HENNAWY, OSAMA SHALKAMY, EİSA AL ATTA, ABDULLAH AL SHAFİ, ABDELAZİZ ABDELAZİZ, OMAR SAFAR, AHMED AL HADİ, HASSAN YOUSEF, MOHAMED ABDO HUSSEN, ABDULLAH S AL FAİFİ
Experimental and Clinical Transplantation - 2023;21(12):988-991
Peritoneal dialysis is a well-established renal replacement therapy for end-stage renal disease. Insertion of a peritoneal dialysis catheter has inherent complication risks. We present a case of a triple-cuff peritoneal dialysis catheter that traversed the urinary bladder on its way to its final destination and was discovered 3 months later during living donor kidney transplant. We observed a 22-year-old male patient on peritoneal dialysis who was admitted for living related kidney transplant. Intraoperatively, we discovered that the well-functioning peritoneal dialysis catheter was inserted through the urinary bladder. Diagnostic intraoperative cystogram and cystoscopy were conducted. Open removal of the peritoneal dialysis catheter and repair of entry and exit sites were performed. The postoperative course was uneventful, and the patient was discharged 11 days postoperatively with a functioning graft. Bladder catheterization before peritoneal dialysis catheter insertion, even in low-risk patients, is mandatory, to avoid bladder perforation. In addition to the case report, we reviewed the pertinent literature.
