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Bladder perforation in a peritoneal dialysis patient Full Text
Saudi Journal of Kidney Diseases and Transplantation, 05/09/2012
Ounissi M et al. – The authors report here the case of a 38–year–old woman having end–stage renal disease due to autosomal–dominant polycystic kidney disease treated by peritoneal dialysis (PD) since November 2000. Three years later, she was treated for Staphylococcal peritonitis. Four months later, she presented with a severe urge to urinate at the time of the fluid exchanges. The biochemical analysis of the fluid from the bladder showed that it was dialysis fluid. Bladder fistula is a rare complication in PD and diagnosis should be suspected when patient complains of an urge to pass urine during the exchanges, which can be confirmed by contrast study showing presence of dye in the bladder. PD may be possible after the closure of the fistula, but recurrence may occur.
