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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Bowel perforation is a rare but serious complication of Tenckhoff catheter placement for peritoneal dialysis (PD), particularly when blind insertion techniques such as the Seldinger method are used. Standard management typically involves catheter removal, surgical repair of the bowel, and delayed reinsertion of a new catheter following completion of systemic antibiotic therapy. Although this approach minimizes the risk of infection, it necessitates a second surgical procedure and can significantly delay the initiation of PD.
We report the case of a 60-year-old woman with end-stage kidney disease secondary to diabetic nephropathy who developed small bowel perforation during Tenckhoff catheter insertion via the Seldinger technique as Figure 1. To avoid a second operation, and in accordance with the patient’s preference, simultaneous catheter removal and contralateral reinsertion were performed during surgical repair of the perforation. The peritoneal cavity was irrigated with 2.5 L of normal saline, a drain was placed, and the patient received a 14-day course of intravenous piperacillin–tazobactam with peritoneal rest. The drain was removed on postoperative day 5, and automated PD was successfully resumed two weeks later without any evidence of peritonitis.
Two weeks after surgery, she successfully resumed automated peritoneal dialysis without any signs or symptoms of peritonitis and remained peritonitis-free during a 10-month follow-up period. The clinical course is summarized in Figure 2, which illustrates the timeline of key events from Tenckhoff catheter insertion through surgical repair and subsequent postoperative management.
Simultaneous catheter removal and reinsertion during surgical repair of bowel perforation represents a potential alternative to the conventional staged approach. When performed in selected patients under optimal surgical conditions, this strategy can avoid additional procedures, reduce technique failure, and support patient-centered care.
