American Journal of Kidney Diseases
Volume 56, Issue 5 , Pages 1006-1011, November 2010

Peritoneal Dialysis Outflow Failure From Omental Wrapping Diagnosed by Catheterography

  • Jing-Yuan Xie, MD

      Affiliations

    • Department of Nephrology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, Peoples Republic of China
    • ,
  • Hong Ren, MD

      Affiliations

    • Department of Nephrology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, Peoples Republic of China
    • ,
  • Krzysztof Kiryluk, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Columbia University, College of Physicians and Surgeons, New York, NY
    • ,
  • Nan Chen, MD

      Affiliations

    • Department of Nephrology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, Peoples Republic of China
    • Corresponding Author InformationAddress correspondence to Nan Chen, MD, Nephrology Department, Shanghai Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, 197 Ruijin Er Rd, Shanghai, 200025, PR China

Received 14 December 2009; accepted 31 March 2010. published online 14 July 2010.

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.

Index Wrds: Peritoneal dialysis, catheter failure, catheterography

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 30.00 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 Originally published online as doi:10.1053/j.ajkd.2010.03.034 on July 14, 2010.

PII: S0272-6386(10)00842-5

doi:10.1053/j.ajkd.2010.03.034

American Journal of Kidney Diseases
Volume 56, Issue 5 , Pages 1006-1011, November 2010

Article Tools

* Image Usage & Resolution