Spontaneous Peritoneal Membrane Rupture with Extravasation of Peritoneal Fluid into the Lower Limbs and Flank in a Peritoneal Dialysis Patient

摘要

Mechanical complications such as catheter malfunction, hernias, hydrothoraces, and catheter/ dialysate leaks are a very significant cause of peritoneal dialysis (PD) treatment failure. Dialysate leaks have been reported to occur in association with abdominal wall weakness. Previous abdominal surgeries, abdominalobesity, hernias, multiple pregnancies, heavy straining, and long-term therapy with steroids may all cause abdominal wall weakness. Extravasation of peritoneal fluid is usually confined to the area in which the peritoneal defect occurs; this area is typically at the peritoneal catheter site, the weakest site of the peri-toneal membrane because of the catheter. Spontaneous retro peritonea I leaks have been reported in the Literature, but only infrequently; hydrothoraces and hernias have been reported more often. We report a dramatic case of sudden uLtrafiltration failure withextravasation of peritonealfLuidinto the right lower limb and flank because of spontaneous rupture of the peritoneal membrane in a chronic PD patient.