Resumption of Peritoneal Dialysis by Externalization of the Embedded Catheter: A Case Report

Abstract

We previously reported a re-embedding catheter technique for peritoneal dialysis (PD) patients with high risk of catheter removal at the discontinuation of PD. We recently operated on a 50-year-old female patient who had resumed PD by externalization of the catheter after the re-embedding catheter technique. The patient had been on PD for acute kidney injury (AKI) due to a hypertensive emergency in 2009, but had discontinued PD after seven months because her creatinine levels decreased to 2 mg/dL. However, because her renal function did not normalize and she preferred to undergo PD for future renal replacement therapy, we applied the re-embedding catheter technique. She resumed PD by externalization of the catheter four years later. We consider the re-embedding catheter technique a useful method for AKI patients who do not recover normal renal function.