Maintaining peritoneal access after accidental damage of peritoneal catheter — case report and review of the ISPD recommendations

Abstract

A case of accidental external Tenckhoff catheter damage with subsequent peritoneal dialysis related peritonitis in a patient two weeks after catheter implantation has been presented. Mechanical catheter complications are emerging as an important cause of technique failure and transfer to hemodialysis. Accidental external catheter damage is infrequent catheter mechanical complication, however, it is associated with higher risk of infectious complications such as peritoneal dialysis related peritonitis. Immediate contact with qualified personnel, catheter external or internal splicing repair and prophylactic antibiotics together with training are key elements of maintaining peritoneal dialysis access.