Document Detail


CT appearance of sclerosing peritonitis in patients on chronic ambulatory peritoneal dialysis.
MedLine Citation:
PMID:  9530397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to describe the CT appearances of sclerosing peritonitis (SP) in patients on chronic ambulatory peritoneal dialysis (CAPD) and to compare these findings with the CT appearances in a control group of CAPD patients who did not develop SP. METHOD: The CT findings in 10 patients with SP were compared with those from a "control group" of 71 patients without SP who were on long-term CAPD and had also undergone at least one CT examination. Particular reference on CT examination was made to the appearance of the peritoneum and small bowel and the presence or absence of loculated fluid collections. RESULTS: Peritoneal abnormalities (calcification/thickening) were noted in 100%, loculated fluid collections in 90%, and small bowel abnormalities (tethering/dilatation) in 60% of the patients with SP. In the control group of patients, peritoneal abnormalities were noted in only 7%, loculated fluid collections in 15%, and small bowel dilatation in 5.7%. CONCLUSION: Peritoneal thickening, peritoneal calcification, loculated fluid collections, and tethering of the small bowel appear to be diagnostic of SP. In a small group of patients with follow-up CT scans, new, or progression of, CT findings correlated with the clinical severity of SP.
Authors:
D B Stafford-Johnson; T E Wilson; I R Francis; R Swartz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  22     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-04-16     Completed Date:  1998-04-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  295-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Michigan Medical Center, Ann Arbor 48109-0030, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Contrast Media
Female
Humans
Iohexol / diagnostic use
Kidney Failure, Chronic / complications,  radiography,  therapy
Male
Middle Aged
Peritoneal Dialysis, Continuous Ambulatory*
Peritoneum / radiography
Peritonitis / etiology,  radiography*
Sclerosis
Tomography, X-Ray Computed* / methods
Chemical
Reg. No./Substance:
0/Contrast Media; 66108-95-0/Iohexol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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