PMC6689834_01
PMC6689834_02
Focal and segmental glomerulosclerosis (FSGS): fibrohyaline segmental glomerular lesions surrounded by dysmorphic podocytes Masson's trichrome x 250
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This was a 13-year-old boy monitored in the unit since 2017-10-04 for stage V Chronic Kidney Disease (CKD) following a primary nephrotic syndrome by Segmental and Focal Glomerulosclerosis (FSGS) (Figure 1) cortico-resistant and cyclo-resistant since he was 11 years old.
A) surgical insertion of TENCKOFF catheter; B) control ASP showing the catheter in a good position in the pouch of Douglas; C) the patient and his mother after the drainage; D) catheter migration in the right lumbar region
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The TENCKOFF (Figure 2 A, B) catheter was inserted on 2018-03-05 in urology in collaboration with the pediatrics and adult nephrology team. Test (PET test) revealed a Hyper-permeable peritoneal membrane with D/P creatinine at 0.91. The patient and his mother were trained and assessed on the PD technique (Figure 2 C). The plain abdominal X-ray revealed a catheter migration to the right (Figure 2 D).