PDF(Pubmed)
Abstract：
UNASSIGNED: Peritoneal dialysis (PD) is a common treatment method for patients with renal failure. While peritonitis and tube floating migration are commonly observed complications, visceral perforation caused by PD is relatively rare. We present a case report of a patient undergoing PD due to renal failure, who encountered two instances of visceral perforation. In both occurrences, Single-Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) played a pivotal role in providing accurate diagnoses and precise localization of the perforation sites. This report underscores the paramount significance of SPECT/CT in diagnosing visceral perforations in the context of PD.
UNASSIGNED: A 73-year-old elderly male has been undergoing PD for 1 year due to renal failure. Recently, there has been impaired drainage of the PD catheter. The clinical team suspected the occurrence of peritonitis. The patient underwent a 99mTc Sodium Pertechnetate (99mTc-NaTcO4) SPECT/CT examination, which identified intestinal perforation. After 20 days of conservative treatment, a SPECT/CT follow-up examination revealed the resolution of the intestinal perforation, but a new bladder perforation emerged. The dialysis catheter was methodically and gradually withdrawn in stages while simultaneously performing bladder decompression. Following these interventions, the patient remained free from peritonitis and cystitis.
UNASSIGNED: The utilization of SPECT/CT proved to be highly valuable in the accurate diagnosis of visceral perforation, a relatively rare complication observed in PD patients.
UNASSIGNED: A 73-year-old elderly male has been undergoing PD for 1 year due to renal failure. Recently, there has been impaired drainage of the PD catheter. The clinical team suspected the occurrence of peritonitis. The patient underwent a 99mTc Sodium Pertechnetate (99mTc-NaTcO4) SPECT/CT examination, which identified intestinal perforation. After 20 days of conservative treatment, a SPECT/CT follow-up examination revealed the resolution of the intestinal perforation, but a new bladder perforation emerged. The dialysis catheter was methodically and gradually withdrawn in stages while simultaneously performing bladder decompression. Following these interventions, the patient remained free from peritonitis and cystitis.
UNASSIGNED: The utilization of SPECT/CT proved to be highly valuable in the accurate diagnosis of visceral perforation, a relatively rare complication observed in PD patients.
摘要：
■腹膜透析（PD）是肾功能衰竭患者的常用治疗方法。虽然腹膜炎和管漂浮迁移是常见的并发症，由PD引起的内脏穿孔相对罕见。我们提供了一例因肾功能衰竭而接受PD的患者的病例报告，他遇到了两次内脏穿孔。在这两种情况下，单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT）在提供穿孔部位的准确诊断和精确定位方面起着关键作用。该报告强调了SPECT/CT在PD背景下诊断内脏穿孔的最重要意义。
■一名73岁的老年男性因肾功能衰竭而接受PD治疗1年。最近,PD导管的引流受损。临床小组怀疑腹膜炎的发生。患者接受了99mTc高tech酸钠（99mTc-NaTcO4）SPECT/CT检查，确定肠穿孔。保守治疗20天后，SPECT/CT随访检查显示肠穿孔的分辨率，但是出现了新的膀胱穿孔。透析导管有条不紊地分阶段逐渐退出，同时进行膀胱减压。在这些干预措施之后，患者没有腹膜炎和膀胱炎。
■使用SPECT/CT被证明对内脏穿孔的准确诊断具有很高的价值，在PD患者中观察到的相对罕见的并发症。
■一名73岁的老年男性因肾功能衰竭而接受PD治疗1年。最近,PD导管的引流受损。临床小组怀疑腹膜炎的发生。患者接受了99mTc高tech酸钠（99mTc-NaTcO4）SPECT/CT检查，确定肠穿孔。保守治疗20天后，SPECT/CT随访检查显示肠穿孔的分辨率，但是出现了新的膀胱穿孔。透析导管有条不紊地分阶段逐渐退出，同时进行膀胱减压。在这些干预措施之后，患者没有腹膜炎和膀胱炎。
■使用SPECT/CT被证明对内脏穿孔的准确诊断具有很高的价值，在PD患者中观察到的相对罕见的并发症。
