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Abdominal hemorrhage after peritoneal dialysis catheter insertion:A rare cause of luteal rupture:A case report

World Journal of Clinical Cases 2021年第22期9卷 6510-6514页

作者： Lin-Wang Gan Qian-Cheng Li Zhao-Lan Yu Li-Ling Zhang Qi Liu Ying Li San-Tao Ou Department of Nephrology The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina Sichuan Clinical Research Center for Nephropathy Luzhou 646000Sichuan ProvinceChina Department of Respiratory The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina

BACKGROUND Abdominal hemorrhage is a complication of peritoneal dialysis catheter(PDC)insertion that cannot be neglected,and its causes are mainly related to surgical *** article reports a case of massive abdominal hemorrhage that was caused by a rare rupture of corpus luteum shortly after PDC during the initiation of peritoneal dialysis(PD)*** SUMMARY A 37-year-old woman was surgically placed a Tenckhoff catheter because of endstage renal *** the third postoperative day,the color of the abdominal drainage fluid was pink,and deepened *** turned pale after initiating conservative *** the tenth postoperative day,the color of the abdominal drainage fluid suddenly turned dark red,and the color progressively *** patient’s hemoglobin dropped from 88 g/L to 57 g/*** computed tomography(CT)indicated abdominal effusion and a high-density shadow in the abdominal *** surgeon performed a laparotomy and found that the corpus luteum had ruptured on the right side and a left ovarian blood body had *** gynecologist repaired the ovary and performed a bilateral *** the operation,the patient stopped bleeding and hemodialysis was temporarily *** was resumed after half a *** patient’s condition improved,and she was discharged 14 d after the *** If abdominal hemorrhage occurs in women of childbearing age after PDC insertion,luteal rupture should be considered as the cause.

关键词： Abdominal hemorrhage Peritoneal dialysis Catheter insertion Angiography Exploratory laparotomy luteal rupture Case report

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