Computerized Tomography CT in the Diagnosis of Subcutaneous Leak Sites during Continuous Ambulatory Peritoneal Dialysis (CAPD)

1984 ◽  
Vol 4 (3) ◽  
pp. 163-166 ◽  
Author(s):  
Zbylut J. Twardowski ◽  
Richard J. Tully ◽  
W. Kirt Nichols ◽  
Sobha Sunderrajan
Keyword(s):  
Peritoneal Dialysis ◽  
Inguinal Hernia ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Supine Position ◽  
The Other ◽  
Contrast Injection ◽  
Peritoneal Catheter ◽  
Fluid Leakage

Two patients receiving continuous ambulatory peritoneal dialysis (CAPD) presented with abdominal, and scrotal or vulvar edema. In both we suspected a dialysate leak, but the leak site could not be defined clinically. In one patient, a plain CT scan (without contrast in dialysate) revealed a small inguinal hernia and ruled out a pericatheter leak. In the other patient the route of fluid leakage could not be detected on a plain CT scan, or when images were taken immediately after contrast injection into dialysate, while the patient remained in the supine position on the CT table. Images taken two hours after contrast injection, with the patient ambulatory in the meantime, disclosed a leak through the tunnel of a previous peritoneal catheter. The diagnosis was confirmed at operation in both patients. Our experience suggests that when the diagnosis cannot be established clinically, CT scan may be useful to delineate a leak site.

Genital Edema in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD)

1984 ◽  
Vol 4 (4) ◽  
pp. 251-252 ◽  
Author(s):  
Reto Orfei ◽  
Klaus Seybold ◽  
Alfred Blumberg
Keyword(s):  
Peritoneal Dialysis ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Peritoneal Fluid ◽  
Umbilical Hernia ◽  
Abdominal Wall Hernia ◽  
The Other ◽  
Processus Vaginalis ◽  
Isotope Technique ◽  
Peritoneal Scintigraphy

Two patients who developed massive genital edema while on CAPD were investigated by peritoneal scintigraphy with Tc99m-glucoheptonate. In one the genital swelling was due to an umbilical hernia and in the other it was due to an abdominal-wall hernia. After the hernia was repaired CAPD could be continued. We recommend peritoneal scintigraphy as a technique for the investigaiton of leakage of peritoneal fluid in patients undergoing CAPD. Recently genital swelling has been described as a complication of CAPD (I, 2). In one patient an isotope technique demonstrated an open processus vaginalis (1), and in four patients (2) scrotal or labial edema was due to an inguinal hernia. This communication describes two patients with genital edema which was due to an umbilical hernia in one, and to an abdominal wall hernia in the other.

Lipoprotein (a) Levels in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 236-241 ◽  
Author(s):  
Carmen Guindeo ◽  
Nicanor Vega ◽  
Ana M. Fernandez ◽  
Leocadia Palop ◽  
Jose A. Aguilar ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Treatment Group ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
The Other ◽  
Control Group ◽  
Protein Loss ◽  
Significant Relation ◽  
Dialysis Treatment ◽  
Lipoprotein A ◽  
Group I

Most researchers have found increases of lipoprotein (a) [Lp(a)] in uremic patients, as well as in those undergo ng hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD). The mechanisms for this increase remain unclear. We studied 71 patients undergoing CAPD, 48 me n and 23 women. According to the time spent on CAPD, the patients were divided into three groups: group 0: 29 patients at the starting off point of dialysis treatment; group I: 22 patients with an average stay of 15.2 months; group II: 20 patients with an average stay of 69.3 months on CAPD. We have only observed significant increases of Lp(a) levels in those patients initiating the dialysis, but no significant differences are found in the other groups undergoing CAPD for longer periods when compared to the control group. We found no significant relation between Lp(a) levels and peritoneal protein loss, and not with absorption of glucose from the dialysate either. We have found a positive and significant correlation between Lp(a) levels and urinary protein loss (r = 0.41; p < 0.001). It is possible that an element associated with proteinuria might have an effect on the metabolism of Lp(a) in CAPD patients.

Peritonitis-Related Deaths in Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients

1990 ◽  
Vol 10 (1) ◽  
pp. 45-47 ◽  
Author(s):  
George E. Digenis ◽  
Georgi Abraham ◽  
Eugene Savin ◽  
Peter Blake ◽  
Nicholas Dombros ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Serum Proteins ◽  
Total Serum ◽  
Contributing Factors ◽  
Peritoneal Catheter ◽  
Staph Aureus ◽  
Artery Disease ◽  
Present On Admission

A total of 636 episodes of peritonitis occurred in 440 patients who entered our continuous ambulatory peritoneal dialysis (CAPD) program from September 1977 to February 1988. Sixteen patients (8 male and 8 female, aged 37–77 years) died during an episode of peritonitis (fatality rate 2.5%). They had been on CAPD for 3 to 105 (average 39) months. Six of them were diabetics. The peritonitis rate among these 16 patients were 1 episode per 12 patient months, while the corresponding figure for the whole (440) CAPD population was 14 patient months. Risk factors present in the 16 patients were: cardiovascular disease (12), cerebrovascular accident (2) peripheral artery disease (1) and pulmonary fibrosis (1). Fever and leukocytosis were present on admission in 11 patients, while total serum proteins and albumin were significantly lower (p < 0.001) than the corresponding values before peritonitis (56 ± 8 vs. 65 ± 5). Staph. aureus was isolated in 8 patients (50%), multiple organisms in 6, Pseudomonas and Candida albicans in 1 each. An abdominal abscess was found in 4 (25%) patients. The peritoneal catheter was removed between the 5th and 10th day in 6 and after the 10th day in 7 patients. Peritonitis with sepsis was the cause of death in 13 patients. Contributing factors were cardiovascular accident in 9, uremic coma in 2, extensive GI bleeding in 2, GI performation in 2, intestinal infarction in 1, and pneumonia in 2 patients. We conclude that the risk of peritonitis-related death in CAPD patients is increased with Staph. aureus or multibacterial peritonitis. Contributing factors are concomitant cardiovascular disease and delayed (>5 days) catheter removal.

An Unusual Cause of Massive Intraperitoneal Bleeding in CAPD

1984 ◽  
Vol 4 (4) ◽  
pp. 257-258 ◽  
Author(s):  
Joseph Shohat Zaki ◽  
Shapira Alexander Yussim ◽  
Geoffrey Boner
Keyword(s):  
Peritoneal Dialysis ◽  
Blood Vessels ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Rare Complication ◽  
Fibrous Tissue ◽  
Massive Bleeding ◽  
Peritoneal Catheter ◽  
Intraperitoneal Hemorrhage ◽  
Intraperitoneal Bleeding ◽  
Capd Patient

A 73-year-old man, who had been on CAPD for two years, presented with massive intraperitoneal hemorrhage. On laparotomy the peritoneal catheter was situated in a large pouch that was lined by fibrous tissue. The hemorrhage arose from erosion of the pouch wall -an unusual cause of intraperitoneal bleeding in the CAPD patient. Massive intraperitoneal bleeding is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Mild to moderate bleeding, which is more common in CAPD, usually is related to disintegration of small blood vessels. In most patients the bleeding is self-limited. This paper describes an unusual cause of massive bleeding in a CAPD patient.

Straight Or Curled Tenckhoff Peritoneal Catheter for Continuous Ambulatory Peritoneal Dialysis (CAPD)

1980 ◽  
Vol 1 (7) ◽  
pp. 123-124 ◽  
Author(s):  
Jacques Rottembourg ◽  
Dominique Jacq ◽  
Marcel Vonlanthen ◽  
Belkacem Issad Yassin El Shahat
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Peritoneal Catheter

scholarly journals Peritoneal Dialysis Initiation to treat end stage kidney desease during pregnancy. A report of 2 cases.

2021 ◽  
Vol 4 (1) ◽  
pp. 45-52
Author(s):  
Lucas Jacobs ◽  
Saleh Kaysi ◽  
Maria Mesquita ◽  
Christelle Fosso ◽  
Andrew Carlin ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
End Stage Renal Disease ◽  
Scientific Literature ◽  
Pregnant Patient ◽  
The Other ◽  
Peritoneal Catheter ◽  
History Of ◽  
Prospective Comparative Study ◽  
Stage Renal Disease ◽  
End Stage

Despite strong evidence suggesting that peritoneal dialysis (PD) is a comparable technique to long-hour hemodialysis (HD) for pregnant patients (11,12), few cases are described in the current literature. Moreover, initiating PD in a pregnant woman needing extrarenal epuration is rarely described if at all. In this article, we present two cases of patients who initiated PD while being already multiple month pregnant: the first one 14 years ago and the other today. Our two patients are in their thirties, are respectively 16 and 10 weeks pregnant and have a history of anti-phospholipids syndrome. It was decided to start a PD program with both of them. Our first patient gave birth to a healthy 2.5 kg and 45 cm daughter despite an episode of peritonitis and the freeing of the peritoneal catheter from adherences. Our second patient is currently on dialysis without complications and is now 28 weeks pregnant with a healthy monitored child. Initiating PD in a pregnant patient is a subject that has not yet been published in the current scientific literature. With higher pregnancy rates than ever in the end stage renal disease population (31), we suggest to assess the objective benefits of PD extrarenal epuration method by performing a prospective comparative study between PD and HD.

Relapsing Peritonitis in Continuous Ambulatory Peritoneal Dialysis (CAPD): Treatment by Interruption of CAPO and Prolonged Antibiotic Therapy

1988 ◽  
Vol 8 (2) ◽  
pp. 155-157 ◽  
Author(s):  
K. Shashi Kant ◽  
Daniel Goetz ◽  
Cynthia Marzluff ◽  
Denise Motz
Keyword(s):  
Peritoneal Dialysis ◽  
Antibiotic Therapy ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Systemic Treatment ◽  
Peritoneal Catheter ◽  
New Approach ◽  
Bacterial Peritonitis ◽  
Dialysis Facility ◽  
Systemic Antibiotics ◽  
Prolonged Antibiotic Therapy

Relapsing peritonitis was assessed in the continuous ambulatory peritoneal dialysis (CAPD) population of a large, outpatient dialysis facility. Prolonged systemic treatment with antibiotics often fails, resulting in the eventual removal and subsequent reimplantation of the catheter. We have tried a new approach to avoid removal of the peritoneal catheter. Patients were treated by the interruption of CAPD, conversion to hemodialysis or discontinuation of dialysis for a period of 7 to 21 days while continuing systemic antibiotics. Over a period of 76.63 patient years, 69 episodes of bacterial peritonitis occurred (0.9 episodes per patient year). Of these, five episodes could be classified as relapsing peritonitis. Five patients with gram-positive relapsing peritonitis were treated by this regimen; all responded with a cure. Our results suggest that relapsing peritonitis can be eradicated without the removal of the peritoneal catheter.

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