因与回肠粘连导致的腹膜透析导管故障：一例报告
Peritoneal Dialysis Catheter Malfunction due to Adhesion to Ileum: A Case Report.
作者信息
Raharja Putu Angga Risky, Fredy Gunawan I Putu Gde, Situmorang Gerhard Reinaldi, Wahyudi Irfan, Rodjani Arry, Puspitasari Henny Adriani
机构信息
Department of Urology, Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Nephrology Division, Department of Child Health, Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
出版信息
Case Rep Nephrol Dial. 2025 Apr 19;15(1):113-118. doi: 10.1159/000546016. eCollection 2025 Jan-Dec.
INTRODUCTION
Peritoneal dialysis (PD) has been demonstrated to be advantageous in the treatment of patients with end-stage kidney disease (ESKD), especially in children. However, patients undergoing PD may experience mechanical problems such as catheter blockages. Obstruction of catheters mainly occur due to bowel dilatation and adhesion of the omentum but also can be caused by fibrin clots, constipation, peritonitis, and surgical procedures.
CASE PRESENTATION
We reported a case of PD catheter adhesion to the ileum in a 1-year-old girl. Previously, the patient underwent laparoscopic insertion of PD catheter due to ESKD. One month after the procedure, there were signs of catheter obstruction. Laparoscopy evaluation and revision were carried out.
CONCLUSION
PD catheter malfunction is primarily due to obstruction; early laparoscopic intervention should be considered to address adhesion to other organs, preventing complications and PD discontinuation.
引言
腹膜透析（PD）已被证明在治疗终末期肾病（ESKD）患者中具有优势，尤其是在儿童患者中。然而，接受腹膜透析的患者可能会出现机械问题，如导管堵塞。导管阻塞主要是由于肠扩张和大网膜粘连引起的，但也可能由纤维蛋白凝块、便秘、腹膜炎和外科手术导致。
病例报告
我们报告了一例1岁女孩腹膜透析导管与回肠粘连的病例。此前，该患者因终末期肾病接受了腹腔镜下腹膜透析导管置入术。术后一个月，出现导管阻塞迹象。进行了腹腔镜评估和修复。
结论
腹膜透析导管故障主要是由于阻塞；应考虑早期腹腔镜干预以解决与其他器官的粘连，预防并发症和腹膜透析中断。
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