[Scintigraphy of the intraperitoneal cavity using technetium 99m as a diagnostic technique for diaphragmatic leaks in peritoneal dialysis: regarding two cases].
Pleural effusion secondary to pleuroperitoneal communication is an unusual complication of continuous ambulatory peritoneal dialysis. Many modalities have been used to diagnosis pleuroperitoneal: pleural fluid analysis, chest X- ray, Tc-99m gammagraphy, computed tomography scan and magnetic resonance image. Some of these procedures are invasive or have a high risk of induced-contrast nephrotoxicity. We present two case reports of pleuroperitoneal leak in two patients on peritoneal dialysis diagnosed with Tc-99m gammagraphy. We conclude that Tc- 99m gammagraphy is a simple, safe, non invasive, low radiation exposure and cost effective method in the assessment and evaluation of complications related to peritoneal dialysis such as pleuroperitoneal leak.
Gil Carballeira
I
I
Department of Nephrology, Vall d'Hebron General University Hospital, Barcelona.
Ramos Sánchez
R
R
Antonia Azancot
M
M
Bartolomé Espinosa
J
J
Vilaplana Moltó
M
M
Camps Domènech
J
J
D000328:Adult; D000368:Aged; D003964:Diaphragm; D005260:Female; D006801:Humans; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010537:Peritoneum / Q000000981:diagnostic imaging*; D010996:Pleural Effusion / Q000000981:diagnostic imaging* / Q000209:etiology*; D011877:Radionuclide Imaging; D013667:Technetium
D013667:Technetium