Sclerosing peritonitis: Possible early diagnosis by computerized tomography of the abdomen

Asher Korzets, Zeev Korzets, Gari Peer, Joseph Papo, Dorothy Stern, Jacques Bernheim, Miriam Blum

Research output: Contribution to journalArticlepeer-review

Abstract

Sclerosing peritonitis (SP) has come to be recognized as a serious complication of peritoneal dialysis (PD). However, diagnosis is often established at a late stage of the disease and at laparotomy. The use of computerized tomography (CT) of the abdomen in 2 patients, clinically suspected of suffering from SP, revealed loculated ascites, adherent bowel loops, bowel lumenal narrowing, and thickening of the peritoneal membrane. Such radiological changes in patients on PD seem highly consistent with a diagnosis of SP. We feel that CT of the abdomen may help in attaining an early, correct, and noninvasive diagnosis of SP. We recommend that CT of the abdomen be performed in any patient on chronic PD who has clinical manifestations suggestive of SP. Early diagnosis of SP can lead to early cessation of PD and hopeful recovery of the peritoneal membranes and space.

Original languageEnglish
Pages (from-to)143-146
Number of pages4
JournalAmerican Journal of Nephrology
Volume8
Issue number2
DOIs
StatePublished - 1988
Externally publishedYes

Keywords

  • Computerized tomography
  • Peritoneal dialysis
  • Sclerosing peritonitis

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