A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement

Figure 1

(a) CAPD catheter passing through a large epigastric varicose vein, as visualized with duplex ultrasonography. Schematic presentation of the duplex ultrasonography. The left external iliac vein (VIE) seemed to be completely occluded. The common iliac vein (VIC) cannot be visualized properly. At the height of the mid common femoral vein (VFC), the duplex revealed the existence of various abdominal wall varices, with relatively high flow, which can be followed all the way to the sternum. The CAPD catheter had been located in one of these superficially located abdominal wall varices. VIE: external iliac vein; VIC: common iliac vein; VFC: common femoral vein; VFP: profunda femoris vein; VFS: superficial femoral vein. (b) Duplex ultrasonography showing the position of the CAPD catheter (arrow) in a variceous abdominal wall vein.

(a)

(b)