[The imaging diagnosis of sclerosing peritonitis (SP) following continuous ambulatory peritoneal dialysis (CAPD)].
Sclerosing peritonitis is a serious complication of CAPD characterised by thickened peritoneal membranes which lead to decreased ultrafiltration and intestinal obstruction. The roentgenographic signs of SP were analysed in 11 patients who underwent plain x-ray of the abdomen, follow-through examinations of the small bowel, ultrasonography and computed tomography. Results were correlated with the histological degree of SP. Besides the non-specific findings of intestinal obstruction, patients with histologically marked SP had loculated fluid collections, thickening of the bowel wall and/or peritoneum, peritoneal calcifications and thickened peritoneal membranes. Due to the fact that postoperative complications often occur in patients with SP, detection of the radiological signs should lead to cautious surgical interventions and changeover to haemodialysis.
Krestin
G P
GP
Departement Medizinische Radiologie, Universitätsspital Zürich.
Kacl
G
G
Hoffmann
R
R
Keusch
G
G
Burger
H R
HR
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000706:statistics & numerical data; D010537:Peritoneum / Q000000981:diagnostic imaging / Q000473:pathology*; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D011300:Preoperative Care; D012189:Retrospective Studies; D012598:Sclerosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography
Bildgebende Diagnostik der sklerosierenden Peritonitis (SP) nach kontinuierlicher ambulanter Peritonealdialyse (CAPD).