Value of magnetic resonance/computed tomography peritoneography technique in the evaluation of dialysate leakage and hernia following peritoneal dialysis

Abstract

Magnetic resonance and computed tomography peritoneography are diagnostic imaging procedures that involve the intraperitoneal administration of a mixture of contrast material and dialysate for direct visualization of the peritoneal cavity and assessment of the integrity of peritoneal membrane. In a clinical series of patients with end-stage renal disease treated with continuous ambulatory peritoneal dialysis, who presented with genital or low abdominal edema, advanced peritoneographic imaging studies allowed direct visualization of the dialysate leakage and peritoneal hernias. Both magnetic resonance and computed tomography peritoneographic procedures allowed accurate diagnosis of continuous ambulatory peritoneal dialysis–related complications that may need to be addressed promptly so that the effectiveness of continuous ambulatory peritoneal dialysis is not compromised.