Migrating Peritoneal Dialysis Catheter Into an Inguinal Hernia

An 86-year-old man who had been stable on continuous cycling peritoneal dialysis for 2 years was seen in the clinic for sudden catheter flow dysfunction. His medical history included kidney disease from ischemic nephropathy, chronic obstructive pulmonary disease, hypertension, and prior bilateral direct inguinal hernia repairs. His catheter dysfunction began after a severe cough during an upper respiratory tract infection and was first identified through lost dwell times and repeated drainage alarms in his cycler treatment data.