Increased uptake of radio labelled white blood cells into abdomen of uremics on peritoneal dialysis.
Peritonitis and exit-site tunnel infection are frequent causes of CAPD drop out. We studied 9 patients, 8 treated by CAPD and 1 by IPD. These patients underwent sonographic and scintigraphic study of the abdomen. All scintigraphic examinations showed a visceral uptake. In two cases, sub-clinical bowel inflammation, demonstrated by scintigraphic study, preceded a gram negative peritonitis. The scintigraphic study with radiolabelled white blood cells may be useful in identifying chronic aseptic inflammations and some bowel and exit-site conditions which are possible risk factors in some cases of peritonitis.
Department of Nuclear Medicine, Arcispedale S. Anna, Ferrara, Italy.
F
F
Malacarne
E
E
De Paoli Vitali
N
N
Prandini
L
L
Feggi
L
L
Perini
P M
PM
Cervi
R
R
Reverberi
L
L
Lodi
P
P
Gilli
D000005:Abdomen / Q000000981:diagnostic imaging*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007962:Leukocytes; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D010091:Oximes; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D019690:Technetium Tc 99m Exametazime; D014463:Ultrasonography; D014511:Uremia / Q000628:therapy*
D015609:Organotechnetium Compounds; D010091:Oximes; D019690:Technetium Tc 99m Exametazime