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ORIGINAL ARTICLE
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 20-22

Laparoscopic oviductal fimbrioplasty for peritoneal dialysis catheter outflow obstruction caused by ovarian fimbriae


1 Department of Surgery, College of Medicine, King Saud University, Riyadh, KSA
2 Department of Surgery, College of Medicine, Riyadh, Saudi Arabia
3 Department of Medicine, College of Medicine, King Saud University, Riyadh, KSA

Correspondence Address:
A Aldohayan
Department of Surgery, College of Medicine, King Saud University, P. O. Box: 2925, Riyadh 11461
KSA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2542-4629.193042

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Introduction: The successful maintenance of peritoneal dialysis is the outcome of well functioning of the peritoneal catheter. Catheter outflow obstruction may cripple the usage of the peritoneal catheter. Catheter migration, omental entrapment, and fibrin clots are the usual causes of this failure. Oviduct fimbriae can cause obstruction rarely. Materials and Surgical Technique: We describe a case of a a 65-year-old woman, in whom the obstruction fimbriae was the cause of the obstruction and was managed by cleaning the catheter, and the right  fimbraepexy to the lateral wall of the peritoneal wall in the dependent part with no salpingectomy is required. Discussion: In follow-up of 20 months, the catheter is working; this technique can be used in young patients who need to balance the risk of infertility with the risk of malfunction of peritoneal dialysis catheter. Conclusions: Ovarian fimbria entrapment in the PDC is rarely the cause of dialysis flow obstruction, if occurs, laparoscopic management is ideal way to manage such presentation.


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