Peritoneal Dialysis Catheter Placement with Peritoneoscopic Technique and Successful Initiation of Peritoneal Dialysis in a Patient with Diastasis Recti

Authors

  • Mohamed Said Abdelsalam,

    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
    2. Department of Internal Medicine, Alexandria University, Alexandria, Egypt
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  • Mohammed Mahdi Althaf,

    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
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  • Mamdouh Nasser Albaqumi,

    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
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  • Osman Alfurayh,

    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
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  • Lutfi Korbi,

    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
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  • Naveed Ul Haq

    Corresponding author
    1. Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia
    • Address correspondence to: Naveed Ul Haq, MD FASN, Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh 11211, Kingdom of Saudi Arabia, or e-mail: nulhaq@kfshrc.edu.sa

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Abstract

Preserved anatomical integrity of the anterior abdominal wall is considered important in the presurgical evaluation of a patient who is being considered for placement of a peritoneal dialysis (PD) catheter. Diastasis recti abdominis (DRA) is the excessive widening or separation between the two bellies of the rectus abdominis muscle. The separation can occur anywhere along the linea alba and at times has been found to span the entire length from the xiphosternal angle to the pubic bone. Presence of DRA can pose a surgical challenge in the peritoneoscopic placement of peritoneal dialysis catheter. In this report, we discuss a case of successful placement of peritoneal dialysis catheter with peritoneoscope technique and successful initiation of peritoneal dialysis in a chronic kidney disease patient with DRA.

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