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Nephrol Dial Transplant (1994) 9: 1449-1452
© 1994 European Renal Association-European Dialysis and Transplant Association

research-article

Computed tomographic peritoneography: CT manifestations in the investigation of leaks and abnormal collections in patients on CAPD

J. Litherland1, E. W. Lupton2, P. A. Ackrill3, M. Venning3 and P. Sambrook1,

1Departments of Diagnostic Radiology University Hospital of South Manchester Manchester UK 2Department of Urology University Hospital of South Manchester Manchester UK 3Department of Nephrology, University Hospital of South Manchester Manchester UK

Correspondence and offprint requests to: Correspondence and offprint requests to: Dr P. Sambrook, Department of Diagnostic Radiology, University Hospital of South Manchester, Nell Lane, West Didsbury. Manchester M20 8LR

Continuous ambulatory peritoneal dialysis (CAPD) is now a common form of treatment for patients with chronic renal failure. However, peritoneal leaks and abnormal intraperitoneal collections can be problematic in these patients, leading to poor dialysate returns, anterior abdominal wall oedema, and genital oedema. We report on a series of 62 computed tomographic peritoneograms performed using a standard protocol on 39 symptomatic patients over 6 years. Thirty-seven scans identified peritoneal leaks or abnormal collections, including leaks from the present dialysis catheter site and previous catheter sites, and collections in inguinal and abdominal herniae. Three patients had abnormalities at two sites each. Localization of leaks and collections is of direct use when surgical management of these patients is contemplated and this paper aims to illustrate the typical CT findings occurring in these patients.

Keywords: anterior abdominal wall leaks and collections; computed tomographic peritoneography; CAPD


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