{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T18:04:27Z","timestamp":1763748267310,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Projekt DEAL"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Tunneled peritoneal drainage catheters are described as an effective and relatively safe method in the management of malignant and non-malignant refractory ascites. Therapeutic advantages, linked to their use, are self-management of ascites and palliative care at home. Complications occur rarely. We describe an ascending colon perforation after implantation of a peritoneal drainage in a patient with refractory ascites due to liver cirrhosis.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>The 68-year-old male was admitted to the intensive care unit due to severe community acquired pneumonia. The ascites drainage was inserted in order to reduce the intra-abdominal pressure and enable appropriate ventilation. A few hours later, bowel content could be detected in the tube and an abdominal computed tomography confirmed the intestinal perforation. Notably, there was no pneumoperitoneum\u00a0and peritonitis had not yet set in. The catheter was removed during an emergency laparotomy and sutured closure of both perforation sites was performed.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Patients with septated ascites and intraperitoneal adhesions are at potential higher risk of bowel perforation during implantation of an indwelling peritoneal catheter. A mini-laparotomy is, therefore, necessary in order to ensure safe implantation and positioning of the catheter in those cases.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12876-020-01489-4","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T09:03:30Z","timestamp":1602839010000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perforation of the ascending colon during implantation of an indwelling peritoneal catheter: a case report"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1713-6759","authenticated-orcid":false,"given":"Maria","family":"Paparoupa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Wege","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Creutzfeldt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcial","family":"Sebode","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faik G.","family":"Uzunoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"Boenisch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Nierhaus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakob R.","family":"Izbicki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Kluge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"issue":"5","key":"1489_CR1","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1007\/s00270-017-1872-1","volume":"41","author":"JA Knight","year":"2018","unstructured":"Knight JA, Thompson SM, Fleming CJ, et al. Safety and effectiveness of palliative tunneled peritoneal drainage catheters in the management of refractory malignant and non-malignant ascites. Cardiovasc Intervent Radiol. 2018;41(5):753\u201361.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"5","key":"1489_CR2","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1097\/MEG.0000000000000837","volume":"29","author":"P Solbach","year":"2017","unstructured":"Solbach P, H\u00f6ner Zu Siederdissen C, Taubert R, et al. Home-based drainage of refractory ascites by a permanent-tunneled peritoneal catheter can safely replace large-volume paracentesis. Eur J Gastroenterol Hepatol. 2017;29(5):539\u201346.","journal-title":"Eur J Gastroenterol Hepatol."},{"issue":"2","key":"1489_CR3","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1515\/raon-2016-0002","volume":"50","author":"G Maleux","year":"2016","unstructured":"Maleux G, Indesteege I, Laenen A, et al. Tenckhoff tunneled peritoneal catheter placement in the palliative treatment of malignant ascites: technical results and overall clinical outcome. Radiol Oncol. 2016;50(2):197\u2013203.","journal-title":"Radiol Oncol"},{"issue":"6","key":"1489_CR4","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1016\/j.jvir.2015.02.012","volume":"26","author":"KM Gummalla","year":"2015","unstructured":"Gummalla KM, Pua U. Delayed benign massive pneumoperitoneum associated with tunneled peritoneal drainage catheter placement. J Vasc Interv Radiol. 2015;26(6):925\u20137.","journal-title":"J Vasc Interv Radiol"},{"issue":"6","key":"1489_CR5","doi-asserted-by":"publisher","first-page":"373","DOI":"10.4166\/kjg.2014.63.6.373","volume":"63","author":"KY Hahn","year":"2014","unstructured":"Hahn KY, Kim HJ, Park HJ, et al. A case of successful endoscopic clipping for iatrogenic colon perforation induced by peritoneal catheter insertion. Korean J Gastroenterol. 2014;63(6):373\u20137.","journal-title":"Korean J Gastroenterol"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-020-01489-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12876-020-01489-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12876-020-01489-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T05:22:02Z","timestamp":1634361722000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-020-01489-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,16]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1489"],"URL":"https:\/\/doi.org\/10.1186\/s12876-020-01489-4","relation":{},"ISSN":["1471-230X"],"issn-type":[{"type":"electronic","value":"1471-230X"}],"subject":[],"published":{"date-parts":[[2020,10,16]]},"assertion":[{"value":"14 February 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 October 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 October 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A case report is intended to develop information to be shared for educational purposes and do not meet the definition of \u201cresearch\u201d. Ethical approval was not necessary. Written informed consent was obtained from the legal guardian of the patient.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of the case and any identifying information, contained within the manuscript file, was obtained from the spouse of the deceased patient, who was his closer relevant and his legal guardian, according to the statement of the German judicial authorities.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests pertaining to this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"345"}}