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Periton Diyalizinin Nadir Bir Komplikasyonu: Mesane Delinmesi

An Unusual Complication of Peritoneal Dialysis: Bladder Perforation

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Abstract (2. Language): 
Continuous ambulatory peritoneal dialysis is a usual method for the therapy of patients with end-stage renal failure. Some complications may occur during catheter insertion and cause sig¬nificant morbidity. We report an inadvertent placement of a Tenck-hoff catheter into bladder in a patient with end-stage renal disease. It has been known that history of peritonitis, previous abdominal surgery and neurogenic uropathy increase the likelihood of blad¬der perforation. Open surgical methods may be more appropriate for patients that have risk factors mentioned above.
Abstract (Original Language): 
Sürekli ayaktan peritoneal diyaliz, son evre böbrek yetmezliklerinde kullanılan tedavi yöntemlerinden biridir. Peritoneal dializ ka-teterinin yerleştirilmesi esnasında önemli komplikasyonlar meydana gelebilir ve ciddi morbidite yaratabilir. Biz bu yazımızda böbrek yetmezliği olan bir hastaya kateter takılması esnasında meydana gelen mesane delinmesi ve kateterin mesaneye yerleştirilmesini anlatıyoruz. Geçirilmiş peritonit, geçirilmiş karın ameliyatı ve nöro-jenik mesane bu riski artırmaktadır. Bu risklere sahip olan hastalar¬da açık cerrahi yöntemlerin kullanılması daha uygun olabilir.
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