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Ganapathy AS, Powell MS, Pirkle JL. Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss. Case Rep Nephrol Dial. 2021;11(2):190-194doi: 10.1159/000515049.
Ganapathy, A. S., Powell, M. S., & Pirkle, J. L. (2021). Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss. Case reports in nephrology and dialysis, 11(2), 190-194. https://doi.org/10.1159/000515049
Ganapathy, Aravindh S, et al. "Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss." Case reports in nephrology and dialysis vol. 11,2 (2021): 190-194. doi: https://doi.org/10.1159/000515049
Ganapathy AS, Powell MS, Pirkle JL. Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss. Case Rep Nephrol Dial. 2021 Jul 09;11(2):190-194. doi: 10.1159/000515049. eCollection 2021. PMID: 34327222; PMCID: PMC8299428.
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Case Rep Nephrol Dial. 2021 Jul 09;11(2):190-194. doi: 10.1159/000515049. eCollection 2021.

Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss.

Case reports in nephrology and dialysis

Aravindh S Ganapathy, Myron S Powell, James L Pirkle

Affiliations

  1. Department of General Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
  2. Section on Nephrology, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

PMID: 34327222 PMCID: PMC8299428 DOI: 10.1159/000515049

Abstract

Extrusion of the superficial cuff of a peritoneal dialysis (PD) catheter is an uncommon complication that may be associated with infection or malfunction. However, extrusion of both the superficial and deep cuffs of a double-cuff catheter is rare and uniformly associated with failure and peritonitis. We report a case of a presternal-type PD double-cuff catheter with extrusion of both cuffs through an abdominal exit site after 6 years of use that has remained functional, which has not been previously reported. In this case, the patient had achieved a 60-kg weight loss resulting in retraction of the subcutaneous tissue around both cuffs, while the catheter was held in place by the titanium connector between the presternal extension tubing and the inner, coiled catheter. In such special circumstances, extrusion of both cuffs may not necessitate urgent catheter removal. A review of the literature revealed previous cases of superficial cuff extrusions with catheters remaining functional but not with deep cuff extrusion.

Copyright © 2021 by S. Karger AG, Basel.

Keywords: Catheter cuff extrusion; Complications; Cuff complications; Peritoneal dialysis; Weight loss complications

Conflict of interest statement

No author reports a conflict of interest or relevant financial disclosure.

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