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Case Reports
. 2021 Apr 13;13(4):e14455.
doi: 10.7759/cureus.14455.

A Case Report of Malfunctioning Peritoneal Dialysis Catheter in a Patient With Diverticulitis With a Phlegmon

Valerie Nwanji  1 , Gail Burkholder  2 , Gurwant Kaur  2
Affiliations
Case Reports

A Case Report of Malfunctioning Peritoneal Dialysis Catheter in a Patient With Diverticulitis With a Phlegmon

Valerie Nwanji et al. Cureus. .

Abstract

We are presenting a case of 59-year-old female with advanced chronic kidney disease where her peritoneal dialysis (PD) catheter was complicated and malfunctioned by its entanglement within a phlegmon from diverticulitis. It needed removal of PD catheter and eventually sigmoid colectomy. We reviewed the literature regarding the risk of peritonitis in patients with asymptomatic diverticulosis and in symptomatic patients with diverticulitis.

Keywords: chronic kidney disease; diverticulitis; diverticulosis; end stage renal disease; focal segmental glomerulosclerosis; kidney transplant; peritoneal dialysis; peritoneal dialysis catheter; peritonitis; phlegmon.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography (CT) abdomen/pelvis without contrast showing phlegmon from acute diverticulitis.
It was also noted that the peritoneal dialysis catheter terminated in the left lower quadrant with tip adjacent to inflammatory changes and the phlegmon (in red circle).
Figure 2
Figure 2. Computed tomography (CT) abdomen/pelvis without contrast showing peritoneal catheter was wrapped within the omentum and phlegmon (in red circle).
See this image and copyright information in PMC

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