title: MRI in the diagnosis of a peritoneal leak in continuous ambulatory peritoneal dialysis.
abstract: 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.
authors.affiliation: Department of Pediatrics, University of Vienna, Waehringer Guertel 18-20, A-1090 Wien, Austria. klaus.arbeiter@akh-wien.ac.at
authors.forename: K M
authors.initials: KM
authors.lastname: Arbeiter
authors.forename: C
authors.initials: C
authors.lastname: Aufricht
authors.forename: T
authors.initials: T
authors.lastname: Mueller
authors.forename: E
authors.initials: E
authors.lastname: Balzar
authors.forename: R W
authors.initials: RW
authors.lastname: Prokesch
mesh_terms: 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*
chemical_list: D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA