Turkish Journal of Pediatric Surgery

Mehmet MELEK, Yeşim EDİRNE, Burhan BEGER, Mecnun ÇETİN

Yüzüncü Yıl Üniversitesi Çocuk Cerrahisi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalları, Van

Keywords: Dialysis, ovarian artery, hemorrhage

Abstract

Patients treated with peritoneal dialysis are prone to many complications like peritonitis, catheter exit-site infection, catheter disfunction, insufficient clearance and ultra-filtration. Although hemoperitoneum is described as a benign complication, one should be cautious against it because of its life-threatening severe form seen in approximately 20 % of patients. There are several studies reporting intra-peritoneal hemorrhage during the procedure but a specific localization of the hemorrhage is not mentioned. We present here a case of 2 months old female infant who died due to intra-abdominal hemorrhage caused by ovarian artery injury on the 4th day after peritoneal dialysis was performed. Catheters made of hard material can cause hemorrhage. Fixation of these catheters is vital.