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지속적 통원성 복막투석(CAPD) 중에 발생된 도관에 의한 장관루 1예
김문재,김순혜,임현호 대한신장학회 1993 Kidney Research and Clinical Practice Vol.12 No.2
Bowel perforation is a rather rare complication of peritoneal dialysis. The majority of cases have occurred upon insertion of a stylet catheter for the purpose of performing acute dialysis. Perfortion associated with a chronic peritoneal dialysis catherter is distinctly unusal. We experienced a case of perforation of sigmoid colon in a 48-year-old woman. She was admitted to Inha university hospital, complaining with lower abdominal pain and general weakness. Tenckhoff catheter has been inserted for CAPD 9 months ago and the catheter was not inactive use during recent two months because of poor economic condition. On admission 2 liters of dialysis solution was given through the catheter for regular exchange, some minutes later patient have pas- sed bulky watery stool. In fistulogram, the tip of catheter was located within rectosigmoid junction of the colon. At laparatomy full thickness pressure necrosis involving the antemesenteric portion of the sigmoid colon and catheter colon fistula surrounded by fibrotic band were found. Adhenolysis and simple closure of affected loop was done.