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Peritoneal Sızıntı Tanısında Peritoneal Sintigrafi

Peritoneal Scintigraphy in Diagnosis of Peritoneal Leakage

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Abdominal hernias and peritoneal leakage are mechanic com¬plications of peritoneal dialysis. We want to present a nonobes type 2 diabetic female patient treated with continuous ambulatory peritoneal dialysis (CAPD) who had left inguinal hernia due to peritoneal leakage detected by peritoneal scintigraphy. A 38-year-old female patient who has been on CAPD programme for 6 years was suffering from a swelling in her left inguinal region and a little decline in ultrafiltration rate in last two week. Fascial structure was intact by abdominopelvic ultrasound and computed tomography. In peritoneal scintigraphy; increased activity attachments were observed at the left inguinal side after first hour. The patient was transferred to the hemodialysis programme three times a week for 1 month temporarily. After 1 month, peritoneal leakage and fluid accumulation were not observed in the control peritoneal scintigraphy. The patient began to CAPD therapy again. In conclusion, peritoneal scintigraphy should be considered in detection of the dialysate leakage in patients on CAPD that failed to be diagnosed by abdominopelvic USG and computed tomography.
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Abstract (Original Language): 
Herniler ve periton sızıntısı, periton diyalizinin mekanik komp-likasyonlarındandır. Obez olmayan tip 2 DM'ye bağlı gelişen diya-betik nefropatili sürekli ayaktan periton diyalizi (SAPD) hastasında periton sızıntısına bağlı sol inguinal herninin periton sintigrafisiyle tanısını sunmayı amaçladık. Otuz sekiz yaşında, 6 yıldır SAPD programında olan bir hasta son iki haftada ultrafiltrasyonda azalma ve sol inguinal bölgede şişlik nedeniyle müracaat etti. Abdominopelvik ultrasonografi (USG) ve bilgisayarlı tomografide fasyal yapı sağlamdı. Peritoneal sintig-rafide; 1. saatin sonunda sol inguinal bölgede artmış aktivite tutulumları izlendi. Hasta geçici olarak 1 ay süreyle haftada 3 hemodi¬yaliz programına alındı. 1 ayın sonunda kontrol periton sintigrafi-sinde önceki defektin kapandığı saptandı. Hasta tekrar SAPD teda¬visine alındı. Abdominopelvik USG ve bilgisayarlı tomografiyle saptanamayan peritoneal sızıntıya bağlı gelişen inguinal hernilerin tanısında peritoneal sintigrafi düşünülmelidir.
FULL TEXT (PDF): 
PDF icon arastrmx_172977_17_pp_81-83.pdf
  • 2
81-83
  • Turkish

REFERENCES

References: 

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