http://kidneyfunction.org Renal Information Sun, 22 Jan 2012 23:48:20 +0000 en hourly 1 http://wordpress.org/?v=3.0.2 http://kidneyfunction.org/peritoneal-dialysis-outflow-failure-from-omental-wrapping-diagnosed-by-catheterography-corrected-proof/ http://kidneyfunction.org/peritoneal-dialysis-outflow-failure-from-omental-wrapping-diagnosed-by-catheterography-corrected-proof/#comments Wed, 14 Jul 2010 07:00:00 +0000 Jing-Yuan Xie, Hong Ren, Krzysztof Kiryluk, Nan Chen http://10.1053/j.ajkd.2010.03.034 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.

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