Bowel perforation and transrectal migration, an extremely rare complication of a peritoneal dialysis catheter: a case report

Peritoneal dialysis catheters are an excellent and highly effective treatment for end-stage renal failure. This procedure is relatively easy and straightforward, but as with any other medical procedure, it can lead to complications, which include infection, hematoma, leakage, and peritonitis. However, in a few selected cases, the catheter can perforate the bowel, and in even rarer cases, it can migrate through it. We report the case of an 18-year-old who needed renal replacement therapy through a Tenckhoff catheter. Two years after its placement, he suddenly noticed that the tip of the catheter protruded through his anus. Migration of the catheter was diagnosed, and during surgery, a fistulous tract from the small bowel to the rectum was found. After surgery, the patient recovered successfully and is on close follow-up.