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| 복막투석 환자에서 복강내 조영제 주입후 시행한 전산화 단층촬영으로 진단된 투석액이 복벽누출 |
| 김영옥 , 장재순 , 이동건 , 양철우 , 김용수 , 변재영 , 방병기 |
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| Abstract |
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Abdominal wall leakage of dialysate in continuous ambulatory peritoneal dialysis (CAPD) patients is uncommon complication. We experienced one case of abdominal wall leakage in CAPD patient confirmed by CT peritoneography. She complained weight gain, decreased ultrafiltration volume, and localized abdominal wall edema without dinical evidence of hernia. CT peritoneography of the aMomen showed leakage of contrast dye from the site of insertion of the CAPD catheter into the anterior abdominal wall. The dialysate was completely drained and CAPD was discontinued. She was switched temporally to hemodialysis and abdominal wall edema disappeared. When CAPD was restarted seven days later, the edema appeared. After CAPD catheter was removed and reinserted at the opposite site, she retumed to CAPD without leakage. |
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