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A 55-year-old male patient, with a history of chronic kidney disease on peritoneal dialysis, consulted for abdominal pain and vomiting associated with a painful mass adjacent to the dialysis catheter. Abdominal CT scan showed dilation of the small bowel loops with a change in caliber at the level of a pericatheter incisional hernia, indicating urgent surgery (Fig. 1). After incision on the mass and opening of the hernial sac, an ischemic small bowel was observed that had herniated through the catheter insertion orifice, requiring resection and anastomosis, removal of the dialysis catheter, closure of the defect and supra-aponeurotic incisional hernia repair. The patient is currently in follow-up, with no recurrence.
