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  • Title: Peritoneal dialysis outflow failure from omental wrapping diagnosed by catheterography.
    Author: Xie JY, Ren H, Kiryluk K, Chen N.
    Journal: Am J Kidney Dis; 2010 Nov; 56(5):1006-11. PubMed ID: 20630641.
    Abstract:
    Peritoneal dialysis outflow failure caused by omental wrapping is a serious complication that is difficult to diagnose noninvasively. We report a case of outflow failure in which catheterography showed several characteristics of omental wrapping: "pseudocele" formation, delayed catheter emptying, and uneven distribution of contrast in the abdominal cavity. A laparoscopic procedure was performed with identification of peritoneal adhesion and greater omental wrapping. The catheter was stripped from the omentum and repositioned in the Douglas peritoneal sac. Catheterography is a reliable, safe, noninvasive, and inexpensive alternative procedure to diagnose outflow failure caused by omental wrapping.
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