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 The dialysis catheter was methodically and gradually withdrawn in stages while simultaneously performing bladder decompression.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.
■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。