Tunnel Infection and Peritonitis Induced by Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report.
Marko Barali��, Ana Bonti��, Jelena Pavlovi��, Vidna Karad��i��-Ristanovi��, Selena Gaji��, Jovan Jevti��, Pavle Popovi��, Kristina Petrovi��, Lara Had��i-Tanovi��, Aleksandra Kezi��
Author Information
Marko Barali��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia. ORCID
Ana Bonti��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia. ORCID
Jelena Pavlovi��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
Vidna Karad��i��-Ristanovi��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia. ORCID
Selena Gaji��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia. ORCID
Jovan Jevti��: Faculty of Medicine, University of Belgrade, Dr Suboti��a Starijeg 8, 11000 Belgrade, Serbia. ORCID
Pavle Popovi��: Clinic for Emergency Surgery, Emergency Center, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
Kristina Petrovi��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
Lara Had��i-Tanovi��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
Aleksandra Kezi��: Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
The occurrence of anterior abdominal wall ulcer at the site of the peritoneal catheter (PC) is one of the rarest complications of peritoneal dialysis (PD). When present, it is mainly caused by which respond well to vancomycin therapy. Despite well-conducted therapy, there is a tendency to relapse and induce Peritonitis, which makes it necessary to remove the PC and change the dialysis model of treatment and/or re-insert the catheter at another place to preserve PD as a treatment method. In the present study, we discuss a case of a 53-year-old patient with end-stage kidney disease treated with PD and with decubitus changes at the PC exit site; the change occurred due to migration of the catheter middle part by protruding from the abdominal cavity to the skin, thus allowing ulcer appearance. Although the PC site was treated with antibiotics, as advised by the surgeon, the patient was finally transferred to hemodialysis as the repositioning of the catheter was not performed. This leads to the conclusion that the antibiotic treatment and catheter repositioning are mandatory to preserve peritoneal dialysis as an end-stage kidney disease (ESKD) treatment model.
