MRI in the diagnosis of a peritoneal leak in continuous ambulatory peritoneal dialysis.
Mechanical problems in continuous ambulatory peritoneal dialysis (CAPD) can result in ultrafiltration failure and disruption of CAPD therapy. The recently described tool of CT peritoneography with water-soluble contrast medium has the disadvantage of radiation and instillation of nephrotoxic substances. We report a child with a peritoneal leak diagnosed by MRI after instillation of a gadodiamide-dialysate mixture. This method provided good anatomical detail without radiation or nephrotoxic agents.
Arbeiter
K M
KM
Department of Pediatrics, University of Vienna, Waehringer Guertel 18-20, A-1090 Wien, Austria. klaus.arbeiter@akh-wien.ac.at
Aufricht
C
C
Mueller
T
T
Balzar
E
E
Prokesch
R W
RW
D002648:Child; D003287:Contrast Media; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000150:complications / Q000175:diagnosis*
D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA