CT-peritoneography: Key diagnostic technique in peritoneal dialysis. Our experience

Area of Science:

• Radiology
• Nephrology
• Medical Imaging

Background:

• Non-infectious complications frequently occur in Peritoneal Dialysis (PD).
• Diagnosis and evaluation of these complications typically necessitate imaging studies.
• Computerized tomography (CT)-peritoneography offers a unique approach to visualizing peritoneal complications.

Purpose of the Study:

• To evaluate the diagnostic utility and effectiveness of CT-peritoneography over a 10-year period for non-infectious complications in PD patients.
• To compare the diagnostic yield of CT-peritoneography with other imaging techniques for specific PD complications.

Main Methods:

• CT-peritoneography involves instilling radiological contrast into the peritoneum mixed with dialysis solution prior to CT imaging.
• A retrospective analysis of 10 years of patient data was conducted.
• The study focused on the diagnosis of non-infectious complications, particularly leaks and hernias.

Main Results:

• CT-peritoneography demonstrated a high diagnostic yield for non-infectious complications in Peritoneal Dialysis.
• The technique proved especially effective in identifying dialysate leakage and hernias.
• Its diagnostic performance surpassed that of other contemporary imaging modalities for these specific conditions.

Conclusions:

• CT-peritoneography is the preferred imaging technique for diagnosing numerous non-infectious complications associated with Peritoneal Dialysis.
• It is particularly recommended for cases involving suspected dialysate leakage or hernias due to its high accuracy and accessibility.