The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

Peritoneal-Retroperitoneal-Scrotal Leakage as a Complication of Peritoneal Dialysis

복막투석의 합병증으로 발생한 복막-후복막 누출 1예

  • Choi, Hyuk-Joon (Department of Internal Medicine, Gumi CHA University Medical Center, CHA University College of Medicine) ;
  • Kim, Jong-Yeol (Department of Radiology, Gumi CHA University Medical Center, CHA University College of Medicine) ;
  • Choi, Ji-Young (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Cho, Ji-Hyung (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Chan-Duck (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Park, Sun-Hee (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Yong-Lim (Department of Internal Medicine, Kyungpook National University School of Medicine)
  • 최혁준 (CHA의과학대학교 구미차병원 내과학교실) ;
  • 김종열 (CHA의과학대학교 구미차병원 영상의학과) ;
  • 최지영 (경북대학교 의학전문대학원 내과학교실) ;
  • 조지형 (경북대학교 의학전문대학원 내과학교실) ;
  • 김찬덕 (경북대학교 의학전문대학원 내과학교실) ;
  • 박선희 (경북대학교 의학전문대학원 내과학교실) ;
  • 김용림 (경북대학교 의학전문대학원 내과학교실)
  • Published : 2011.01.01
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Abstract

We report a case of retroperitoneal and scrotal dialysate leakage resulting from peritoneal-retroperitoneal communication in a patient on peritoneal dialysis (PD). The ultrafiltration volume was reduced and the scrotum became enlarged in a patient who had been undergoing PD for 4 years. Retroperitoneal and scrotal leakage of dialysate was confirmed by computed tomography (CT) performed 1 hour after the intraperitoneal infusion of contrast-containing dialysate. The PD was halted and the patient was transferred to hemodialysis (HD). One month after the transfer to HD, the PD was resumed and there were no signs of extraperitoneal leakage.

복막투석액의 누출은 복막투석 환자의 10% 미만에서 발생하는 합병증으로, 투석액은 도관출구, 흉강, 복부 탈장, 복벽으로 누출될 수 있으며, 개방성 초상돌기를 통한 외부생식기로도 누출될 수 있다. 저자들은 흔히 발생하는 누출경로가 아닌 후복막으로 투석액이 누출되는 드문 예를 경험하였다. 배액감소로 내원한 환자에서 CT peritoneography를 시행함으로써, 투석액이 후복막으로 누출된 후 누출된 투석액이 우측 고환까지 이동함을 확인하였기에 이를 보고하는 바이다.

Keywords

References

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