PMC4396549_01
X-ray abdomen showing migrated CAPD catheter lying outside the pelvis (a). Illustration of laparoscopic port placement (b). The middle 12 mm blue cross is the camera port while the corners 12 mm and 5 mm are the working ports.
CRIN2015-684976.001.jpg
PMC4396549_01_CRIN2015-684976.001.jpg
fig1
X-ray abdomen revealed malposition of CAPD catheter (Figure 1(a)). Three ports were placed including one 12 mm camera and two working ports (Figure 1(b)). To our surprise, the catheter was engulfed by appendices epiploicae of sigmoid colon (Figure 2).
Laparoscopic view demonstrating wrapped-up CAPD catheter by appendices epiploicae of sigmoid colon (a). Dissection of the catheter from epiploicae using harmonic shear device (b). CAPD catheter hanging freely over prolene loops that are fixed to the pelvic parietal peritoneum using hemostatic clips (c). Epiplopexy using hemostatic clips (d) (AE = appendices epiploicae; CC = CAPD catheter; SC = sigmoid colon; SM = sigmoid mesocolon; HC = hemostatic clips).
CRIN2015-684976.002.jpg
PMC4396549_01_CRIN2015-684976.002.jpg
fig2
Three ports were placed including one 12 mm camera and two working ports (Figure 1(b)). To our surprise, the catheter was engulfed by appendices epiploicae of sigmoid colon (Figure 2).