Article: Retroperitoneal leakage as a cause of ultrafiltration failure

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TitleRetroperitoneal leakage as a cause of ultrafiltration failure
AuthorsLam, MF1
Lo, WK1
Chu, FSK1
Li, FK1
Yip, TPS1
Tse, KC1
Chan, TM1
Lai, KN1
KeywordsComputed tomographic peritoneography
Retroperitoneal leakage
Ultrafiltration failure
Issue Date2004
PublisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com
CitationPeritoneal Dialysis International, 2004, v. 24 n. 5, p. 466-470 [How to Cite?]
AbstractWe report 3 patients on continuous ambulatory peritoneal dialysis (CAPD) who developed reversible ultrafiltration failure secondary to retroperitoneal leakage. The patients presented with pulmonary edema and fluid overload following a sudden onset of ultrafiltration failure on maintenance CAPD. There was no localized edema, suggesting peritoneal leakage in the abdominal wall or the perineum. Radiological examination showed no migration of the Tenckhoff catheter. Leakage of dialysate into the retroperitoneal space was only revealed by computed tomographic (CT) peritoneography. These patients were then treated with intermittent peritoneal dialysis twice weekly. After repeated CT peritoneography showing complete resolution of the leakage, they successfully resumed CAPD treatment 2 months later, without ultrafiltration problems. Our finding suggests that retroperitoneal leakage could be one of the uncommon, yet reversible, causes of acute ultrafiltration failure that can be diagnosed with CT peritoneography. Copyright © 2004 International Society for Peritoneal Dialysis.
ISSN0896-8608
2011 Impact Factor: 2.097
2011 SCImago Journal Rankings: 0.091
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorLam, MF
dc.contributor.authorLo, WK
dc.contributor.authorChu, FSK
dc.contributor.authorLi, FK
dc.contributor.authorYip, TPS
dc.contributor.authorTse, KC
dc.contributor.authorChan, TM
dc.contributor.authorLai, KN
dc.date.accessioned2010-09-06T07:26:09Z
dc.date.available2010-09-06T07:26:09Z
dc.date.issued2004
dc.description.abstractWe report 3 patients on continuous ambulatory peritoneal dialysis (CAPD) who developed reversible ultrafiltration failure secondary to retroperitoneal leakage. The patients presented with pulmonary edema and fluid overload following a sudden onset of ultrafiltration failure on maintenance CAPD. There was no localized edema, suggesting peritoneal leakage in the abdominal wall or the perineum. Radiological examination showed no migration of the Tenckhoff catheter. Leakage of dialysate into the retroperitoneal space was only revealed by computed tomographic (CT) peritoneography. These patients were then treated with intermittent peritoneal dialysis twice weekly. After repeated CT peritoneography showing complete resolution of the leakage, they successfully resumed CAPD treatment 2 months later, without ultrafiltration problems. Our finding suggests that retroperitoneal leakage could be one of the uncommon, yet reversible, causes of acute ultrafiltration failure that can be diagnosed with CT peritoneography. Copyright © 2004 International Society for Peritoneal Dialysis.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationPeritoneal Dialysis International, 2004, v. 24 n. 5, p. 466-470 [How to Cite?]
dc.identifier.epage470
dc.identifier.hkuros99046
dc.identifier.isiWOS:000224415700012
dc.identifier.issn0896-8608
2011 Impact Factor: 2.097
2011 SCImago Journal Rankings: 0.091
dc.identifier.issue5
dc.identifier.openurl
dc.identifier.pmid15490987
dc.identifier.scopuseid_2-s2.0-7444265833
dc.identifier.spage466
dc.identifier.urihttp://hdl.handle.net/10722/76902
dc.identifier.volume24
dc.languageeng
dc.publisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com
dc.publisher.placeCanada
dc.relation.ispartofPeritoneal Dialysis International
dc.relation.referencesReferences in Scopus
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshDecision Trees
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPeritoneal Dialysis, Continuous Ambulatory - adverse effects
dc.subject.meshPeritoneum - radiography
dc.subject.meshRetroperitoneal Space
dc.subject.meshTomography, X-Ray Computed
dc.subject.meshTreatment Failure
dc.subjectComputed tomographic peritoneography
dc.subjectRetroperitoneal leakage
dc.subjectUltrafiltration failure
dc.titleRetroperitoneal leakage as a cause of ultrafiltration failure
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong