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Scintigraphic Detection of Abdominal Wall and Diaphragmatic Peritoneal Leaks in Patients on Continuous Ambulatory Peritoneal Dialysis

Renal Dialysis Service, Nuclear Medicine Laboratory, Department of Medicine and Department of Pathology, Sacred Heart General Hospital, Eugene, Oregon

Correspondence: For reprints contact: James V. Walker, MD, Renal Dialysis Service, Nuclear Medicine Laboratory, Sacred Heart General Hospital, 1255 Hilyard St., P.O. Box 10905, Eugene, OR 97440.

ABSTRACT

Continuous ambulatory peritoneal dialysis (CAPD) is utilized with increasing frequency for patients with end stage renal disease (ESRD). Several complications have been observed including catheter malfunction due to pericatheter leaks, abdominal wall and inguinal hernias and diaphragmatic leaks. Occasionally special diagnostic procedures are necessary to determine the nature of the abnormality and guide the surgical approach to correction. The four cases herein illustrate the usefulness of radionuclide imaging in diagnosing leakage of dialysate fluid in patients on CAPD.