Peritoneal Dialysis Outflow Failure From Omental Wrapping Diagnosed by Catheterography

• DOI: 10.1053/j.ajkd.2010.03.034
• Publication Date: 2010-07-14T08:43:33Z
• Authors: Jing-Yuan Xie; Hong Ren; Krzysztof Kiryluk; Nan Chen
• Keywords: Male; Radiography, Abdominal; Tissue Adhesions; Middle Aged; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; Catheters, Indwelling; 0302 clinical medicine; Humans; Kidney Failure, Chronic; Equipment Failure; Laparoscopy; Omentum; Peritoneal Cavity; Peritoneal Dialysis

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.