Pericatheter leak in a peritoneal dialysis patient: SPECT/CT diagnosis

Clin Nucl Med. 2012 Jun;37(6):625-8. doi: 10.1097/RLU.0b013e31824c7799.


A 62-year-old patient with end-stage renal disease who is managed with continuous ambulatory peritoneal dialysis developed anterior abdominal wall swelling and pain that extended from just above peritoneal catheter site caudally. CT of the abdomen suggested pericatheter abscess with panniculitis. Tc-99m sulfur colloid peritoneal distribution planar scintigraphy suggested the diagnoses of pericatheter leak. The addition of SPECT/CT confirmed the latter diagnosis and pinpointed the exact location of the peritoneal leakage that was around insertion site. SPECT/CT was useful in establishing unequivocal diagnosis of peritoneal leak.

Publication types

  • Case Reports

MeSH terms

  • Catheters / adverse effects*
  • Humans
  • Kidney Failure, Chronic / diagnostic imaging
  • Kidney Failure, Chronic / therapy
  • Middle Aged
  • Multimodal Imaging*
  • Peritoneal Dialysis / adverse effects*
  • Peritoneal Dialysis / instrumentation*
  • Peritoneal Diseases / diagnostic imaging*
  • Positron-Emission Tomography*
  • Tomography, X-Ray Computed*