Other mechanical complication of intraperitoneal dialysis catheter digital illustration

Other mechanical complication of intraperitoneal dialysis catheter Save


ICD-10 code: T85.691

Chapter: Injury, poisoning and certain other consequences of external causes

Other Mechanical Complications of Intraperitoneal Dialysis Catheter

Intraperitoneal dialysis catheter is a medical device used to perform peritoneal dialysis, a treatment for kidney failure. The catheter is inserted through the abdominal wall into the peritoneal cavity, where a solution is infused to remove waste and excess fluid from the body. While peritoneal dialysis is generally safe, there are some mechanical complications associated with the use of the catheter that patients and caregivers should be aware of.

  1. Catheter migration: The catheter may move out of place, causing discomfort and affecting the effectiveness of the treatment. This can happen due to improper placement during insertion, poor fixation, or trauma to the abdomen. Patients should report any pain, leakage, or unusual sensations around the catheter site to their healthcare provider.
  2. Catheter obstruction: The catheter may become blocked, preventing the solution from flowing in and out of the peritoneal cavity. This can be caused by blood clots, fibrin deposits, or kinks in the catheter. Symptoms may include abdominal pain, cloudy dialysate, and decreased urine output. Treatment may involve flushing the catheter with a solution or surgery to remove the obstruction.
  3. Catheter leakage: The catheter may develop a leak, causing the dialysate to leak out of the abdomen. This can happen due to a tear in the catheter, a puncture wound, or a loosened connection. Patients may experience fluid accumulation around the catheter site, redness, or drainage. Immediate medical attention is necessary to prevent infection and further complications.
  4. Catheter dislodgement: The catheter may become dislodged from the abdominal wall, exposing the peritoneal cavity to the outside environment. This can happen due to accidental pulling, trauma, or poor fixation. Patients should avoid strenuous activities, such as heavy lifting or contact sports, and follow the recommended care instructions to prevent catheter dislodgement.

Patients undergoing peritoneal dialysis should be aware of the potential mechanical complications associated with the use of intraperitoneal dialysis catheter. Regular monitoring and timely intervention can prevent further complications and ensure the success of the treatment. Patients should discuss any concerns or questions with their healthcare provider and follow the recommended care instructions.