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一例罕见的前腹壁透析液渗漏病例，通过Tc99m-硫胶体单光子发射计算机断层扫描/计算机断层扫描腹膜闪烁显像诊断。

An Unusual Case of Anterior Abdominal wall Dialysate Leak Diagnosed with Tc99m-Sulfur Colloid Single-Photon Emission Computed Tomography/Computed Tomography Peritoneal Scintigraphy.

作者信息

Prasad Rajendra, Kousik Vankadari, Kumar Randheer

机构信息

Department of Nephrology, Yashoda Hospital, Secunderabad, Telangana, India.

Department of Nuclear Medicine, Yashoda Hospital, Secunderabad, Telangana, India.

出版信息

Indian J Nucl Med. 2020 Oct-Dec;35(4):370-371. doi: 10.4103/ijnm.IJNM_89_20. Epub 2020 Oct 21.

DOI:10.4103/ijnm.IJNM_89_20
PMID:33642774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7905276/
Abstract

Peritoneal dialysis (PD) was commonly used renal replacement therapy for treating end-stage renal failure patients leading to various infectious and mechanical complications. We present a case of a 50-year-old female patient who presented with reduced dialysate return and abdominal wall edema following continuous ambulatory PD. Peritoneal scintigraphy done on suspicion of dialysate leak shows tracer accumulation in the anterior abdominal wall below the insertion of the peritoneal catheter.

摘要

腹膜透析（PD）是治疗终末期肾衰竭患者常用的肾脏替代疗法，可导致各种感染和机械并发症。我们报告一例50岁女性患者，在持续非卧床腹膜透析后出现透析液回流量减少和腹壁水肿。因怀疑透析液渗漏而进行的腹膜闪烁扫描显示，示踪剂在腹膜导管插入处下方的前腹壁积聚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb4/7905276/6dee329b50db/IJNM-35-370-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb4/7905276/6dee329b50db/IJNM-35-370-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb4/7905276/6dee329b50db/IJNM-35-370-g001.jpg

相似文献

1
An Unusual Case of Anterior Abdominal wall Dialysate Leak Diagnosed with Tc99m-Sulfur Colloid Single-Photon Emission Computed Tomography/Computed Tomography Peritoneal Scintigraphy.一例罕见的前腹壁透析液渗漏病例，通过Tc99m-硫胶体单光子发射计算机断层扫描/计算机断层扫描腹膜闪烁显像诊断。
Indian J Nucl Med. 2020 Oct-Dec;35(4):370-371. doi: 10.4103/ijnm.IJNM_89_20. Epub 2020 Oct 21.
2
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Dialysate leaks in peritoneal dialysis.腹膜透析中的透析液渗漏
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Adv Perit Dial. 2018 Nov;34(2018):64-66.
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Pericatheter leak in a peritoneal dialysis patient: SPECT/CT diagnosis.经导管渗漏的腹膜透析患者：SPECT/CT 诊断。
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[The role of CT peritoneography as diagnostic tool in patient on peritoneal dialysis with dialysate leakage].[CT腹膜造影在腹膜透析伴透析液渗漏患者中作为诊断工具的作用]
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Complications of continuous ambulatory peritoneal dialysis: diagnostic value of peritoneal scintigraphy.持续性非卧床腹膜透析的并发症：腹膜闪烁显像的诊断价值
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The role of peritoneal scintigraphy in the detection of continuous ambulatory peritoneal dialysis complications.腹膜闪烁扫描术在持续性非卧床腹膜透析并发症检测中的作用
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Investigation and treatment of poor drains of dialysate fluid associated with anterior abdominal wall leaks in patients on chronic ambulatory peritoneal dialysis.持续性非卧床腹膜透析患者腹前壁渗漏相关透析液引流不畅的调查与处理
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本文引用的文献

1
Pericatheter leak in a peritoneal dialysis patient: SPECT/CT diagnosis.经导管渗漏的腹膜透析患者：SPECT/CT 诊断。
Clin Nucl Med. 2012 Jun;37(6):625-8. doi: 10.1097/RLU.0b013e31824c7799.
2
Peritoneal catheters and related infections.腹膜导管及相关感染。
Int Urol Nephrol. 2005;37(2):379-93. doi: 10.1007/s11255-004-1562-1.
3
Peritoneo-scrotal communication: demonstration by 99mtechnetium sulphur colloid scintigraphy.腹膜-阴囊交通：通过99m锝硫胶体闪烁扫描术进行显示
Australas Radiol. 2005 Aug;49(4):335-7. doi: 10.1111/j.1440-1673.2005.01446.x.
4
Can peritoneal dialysis be used as a long term therapy for end stage renal disease?腹膜透析能否作为终末期肾病的长期治疗方法？
Int Urol Nephrol. 2003;35(4):569-77. doi: 10.1023/b:urol.0000025644.90484.ec.
5
Dialysate leaks in peritoneal dialysis.腹膜透析中的透析液渗漏
Semin Dial. 2001 Jan-Feb;14(1):50-4. doi: 10.1046/j.1525-139x.2001.00014.x.
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Intraperitoneal injection of technetium-99m sulfur colloid in visualization of a peritoneo-vaginalis connection.
J Nucl Med. 1984 Jan;25(1):68-9.
7
Abdominal hernias complicating continuous ambulatory peritoneal dialysis.腹疝使持续性非卧床腹膜透析复杂化。
Am J Nephrol. 1986;6(4):271-4. doi: 10.1159/000167174.
8
Early and late peritoneal dialysate leaks in patients on CAPD.持续性非卧床腹膜透析（CAPD）患者的早期和晚期腹膜透析液渗漏
Adv Perit Dial. 1990;6:64-71.