A bursal-like fluid collection that forms around the exit site or subcutaneous tunnel of a peritoneal dialysis catheter, from repeated catheter motion creating a reactive tissue layer around the implanted device.
Pericatheter bursitis in peritoneal dialysis patients produces exit site swelling and pain that may mimic exit site infection. Ultrasound distinguishes sterile reactive pericatheter fluid from infected collections. Management involves local wound care and catheter repositioning; infected collections require catheter removal and antibiotics.
Reactive pericatheter bursa formation at the PD catheter exit site producing local swelling, distinguished from infection by absence of erythema, warmth, and purulent discharge.
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