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Periton Sintigrafisi ile Gösterilen Transvaginal Periton Diyalizat Kaçağı

Transvaginal Leak of Peritoneal Dialysate Demonstrated by Peritoneal Scintigraphy

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): 
Several methods such as abdominal computed tomography, MR peritonography and abdominal scintigraphy have been used as diagnostic tools for mechanical complications of continuous ambulatory peritoneal dialysis (CAPD). In this report, we present the case of a woman on CAPD who suffered from a peritoneovaginal leak, which was detected by peritoneal scintigraphy after intraperitoneal injection of Tc-99m sulfur colloid. A 25-year-old female with a past medical history of chronic renal failure had peritoneal dialysis catheter placed, and she was commenced on CAPD. This treatment produced satisfactory results with dialysate fluid of 1500 ml. She had no complaint until the last three months, after then she noticed intermittent vaginal leakage of a clear fluid. She was evaluated using peritoneal scintigraphy. The nuclear study was performed using 2.0 mCi Tc-99m labelled sulfur colloid mixed with 1500 ml of dialysate, which was then infused into the peritoneal cavity via the peritoneal dialysis catheter. The patient was scanned using a gamma camera. After 10 minutes, the isotope was present in vagina. CAPD treatment was discontinued and the patient transfered to haemodialysis. Peritoneal scintigraphy is a useful technique to detect perito-neovaginal leak in patients on CAPD.
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Abstract (Original Language): 
Sürekli ayaktan periton diyalizinin (SAPD) mekanik komplikas-yonlarının gösterilmesinde abdominal bilgisayarlı tomografi, MR peritonografi ve abdominal sintigrafi gibi bazı yöntemler kullanılmaktadır. Bu makalede, intraperitoneal Tc-99m sülfür kolloid injek-siyonu uygulanarak çekilen periton sintigrafisi ile gösterilen perito-neovajinal kaçağı olan bir SAPD olgusu rapor edilmektedir. Olgu: Sistemik lupus eritematozusa bağlı kronik böbrek yetmezliği olan 25 yaşındaki kadın hastaya, periton diyaliz kateteri yerleştirilerek diyalize hazırlandı. 1500 ml'lik diyalizat sıvısı kullanılarak periton diyalizi başarıyla sürdürüldü. Son üç aya kadar herhangi bir yakınması olmayan hastada, intermittan olarak vaginal berrak sıvı sızdığı fark edildi. Diyalizat volümü 1200 ml'ye azaltılmasına rağmen bu semptom düzelmedi. Hasta periton sintigrafisi kullanılarak değerlendirildi. 2.0 mCi Tc-99m 1500 ml diyalizat içine koyularak periton diyaliz kateterinden periton içine infüze edildi. Gama kamera kullanılarak, 10 dk sonra izotopun vajinada olduğu saptandı. SAPD tedavisi kesilerek, hasta hemodiyalize transfer edildi. SAPD hastalarında, peritoneovajinal kaçağın gösterilmesinde periton sintigrafisinin yararlı olduğu görüldü.
FULL TEXT (PDF): 
PDF icon arastrmx_172977_17_pp_126-129.pdf
  • 3
126-129
  • Turkish

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