Peritoneal dialysis outflow failure from omental wrapping diagnosed by catheterography.
Peritoneal dialysis outflow failure caused by omental wrapping is a serious complication that is difficult to diagnose noninvasively. We report a case of outflow failure in which catheterography showed several characteristics of omental wrapping: "pseudocele" formation, delayed catheter emptying, and uneven distribution of contrast in the abdominal cavity. A laparoscopic procedure was performed with identification of peritoneal adhesion and greater omental wrapping. The catheter was stripped from the omentum and repositioned in the Douglas peritoneal sac. Catheterography is a reliable, safe, noninvasive, and inexpensive alternative procedure to diagnose outflow failure caused by omental wrapping.
Xie
Jing-Yuan
JY
Department of Nephrology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, Peoples Republic of China.
Ren
Hong
H
Kiryluk
Krzysztof
K
Chen
Nan
N
D002408:Catheters, Indwelling; D003937:Diagnosis, Differential; D004868:Equipment Failure; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000473:pathology*; D010529:Peritoneal Cavity / Q000473:pathology*; D010530:Peritoneal Dialysis; D011860:Radiography, Abdominal / Q000379:methods*; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery