Value of scintigraphy in chronic peritoneal dialysis patients

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Presentation transcript:

Value of scintigraphy in chronic peritoneal dialysis patients Peter H. Juergensen, Hasan Rizvi, Vicente J. Caride, Alan S. Kliger, Fredric O. Finkelstein Kidney International Volume 55, Issue 3, Pages 1111-1119 (March 1999) DOI: 10.1046/j.1523-1755.1999.0550031111.x Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 1 Normal peritoneal scintigraphy scan. Instillation phase images. Free movement of dialysate infusate with radiotracer into paracolic, subdiaphragmatic and pelvic gutters. Kidney International 1999 55, 1111-1119DOI: (10.1046/j.1523-1755.1999.0550031111.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 2 Normal postinfusion, ambulatory, and drain images. (A) Post-infusion image showing the anterior abdomen with normal intraperitoneal distribution of radiotracer. (B) Post-ambulatory image with an anterior view that is similar to the post-infusion phase in normal cases. (C) Post-drain image showing an anterior abdominal view with residual activity in splenic fossa. The left paracolic and pelvic regions are significantly less than the post-infusion images. Kidney International 1999 55, 1111-1119DOI: (10.1046/j.1523-1755.1999.0550031111.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 3 Anterior abdominal leak. (A) The postinfusion image demonstrates normal intraperitoneal distribution of radiotracer. (B) The postambulation images demonstrate extravasation of fluid and collection in midline abdominal wall region. (C) A 24-hour delayed scan of left anterior oblique projection. At 24 hours, the full extent of the leakage can be appreciated in the anterior abdominal wall. Kidney International 1999 55, 1111-1119DOI: (10.1046/j.1523-1755.1999.0550031111.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 4 Inguinal scrotal hernia. The postinfusion images outline the right inguino-scrotal fluid collection. There is also demonstration of a left inguinal hernia. Kidney International 1999 55, 1111-1119DOI: (10.1046/j.1523-1755.1999.0550031111.x) Copyright © 1999 International Society of Nephrology Terms and Conditions

Figure 5 Loculated fluid. The post-infusion image demonstrated loculated intraperitoneal fluid. The radiotracer is confined to the left paracolic and pelvic area. Kidney International 1999 55, 1111-1119DOI: (10.1046/j.1523-1755.1999.0550031111.x) Copyright © 1999 International Society of Nephrology Terms and Conditions