Korean Journal of Nephrology 2008;27(4):487-491.
Inguinal Hernia Presenting as Scrotal Edema in Patients on Continuous Ambulatory Peritoneal Dialysis
Jung-Hyun Lee, M.D.1, Hyun-Sung Yoon, M.D.1, Han-Su Cho, M.D.1, Eung-Jun Lee, M.D.1, Young-Bum Yoo, M.D.2, Jung-Hwan Park, M.D.1, Jong-Ho Lee, M.D.1, Jong-Oh Song, M.D.1 and Young-Il Jo, M.D.1
Division of Nephrology1
Department of Internal Medicine and Department of Surgery2 Konkuk University School of Medicine, Seoul, Korea.
증례 : 복막투석 환자에서 음낭부종으로 발현된 샅굴 헤르니아 2예
이정현1, 윤현성1, 조한수1, 이응준1, 유영범2, 박정환1, 이종호1, 송종오1, 조영일1
건국대학교 의학전문대학원 내과학교실1, 외과학교실2
Abstract
Scrotal edema may develop during continuous ambulatory peritoneal dialysis (CAPD). The two etiologic mechanisms are peritoneo-scrotal communication through a patent processus vaginalis or extravasation of dialysate through a defect of abdominal wall. We report two cases of scrotal edema due to inguinal hernia by peritoneo-scrotal communication during CAPD. The etiology of scrotal edema was confirmed by peritoneal scintigraphy and/or computed tomography. Scrotal edema due to inguinal hernia was completely resolved by a surgical repair of hernia and did not recur despite of resumption of peritoneal dialysis.
Key Words: Inguinal hernia, Testicular hydrocele, Continuous ambulatory peritoneal dialysis


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