Download PDF
CC BY-NC-ND 4.0 · World J Nucl Med 2022; 21(01): 065-068
DOI: 10.1055/s-0042-1748030
Case Report

The Role of SPECT/CT in Peritoneal Scintigraphy in the Era of Low-Dose Imaging: A Case Report

Domnique S. Newallo
1   Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, United States
,
Michara Chataigne
2   Georgia Southern University, Savannah, Georgia, United States
,
Saima Muzahir
1   Division of Nuclear Medicine and Molecular Imaging, Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, United States
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Peritoneal scintigraphy, although rarely used, plays a vital role in the diagnosis of peritoneal dialysis catheter complications. Reported complications include spontaneous hydrothorax secondary to a pleuroperitoneal fistula, which requires the abandonment of peritoneal dialysis, given that a delay in diagnosis can lead to worsening clinical status. Previously reported peritoneal scintigraphy protocols recommended intraperitoneal instillation of radiotracer and moderate-to-large volumes of dialysate or sterile saline ranging from 350 to 2,000 mL. However, smaller volumes, in conjunction with the use of single-photon emission computed tomography/computed tomography, are not verified in patients receiving peritoneal scintigraphy imaging.

Keywords

peritoneal scintigraphy - SPECT/CT - pleuroperitoneal fistula - diaphragmatic defect - peritoneal dialysis catheter


Publication History

Article published online:
30 April 2022

© 2022. World Association of Radiopharmaceutical and Molecular Therapy (WARMTH). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Edwards SR, Unger AM. Acute hydrothorax—a new complication of peritoneal dialysis. JAMA 1967; 199 (11) 853-855
    CrossrefPubMedGoogle Scholar
  • 2 Chow KM, Szeto CC, Li PK-T. Management options for hydrothorax complicating peritoneal dialysis. Semin Dial 2003; 16 (05) 389-394
    CrossrefPubMedGoogle Scholar
  • 3 Stuart S, Booth TC, Cash CJC. et al. Complications of continuous ambulatory peritoneal dialysis. Radiographics 2009; 29 (02) 441-460
    CrossrefPubMedGoogle Scholar
  • 4 Chavannes M, Sharma AP, Singh RN, Reid RH, Filler G. Diagnosis by peritoneal scintigraphy of peritoneal dialysis-associated hydrothorax in an infant. Perit Dial Int 2014; 34 (01) 140-143
    CrossrefPubMedGoogle Scholar
  • 5 Chow KM, Szeto CC, Wong TY-H, Li PK-T. Hydrothorax complicating peritoneal dialysis: diagnostic value of glucose concentration in pleural fluid aspirate. Perit Dial Int 2002; 22 (04) 525-528
    CrossrefPubMedGoogle Scholar
  • 6 Yavuz K, Erden A, Ateş K, Erden I. MR peritoneography in complications of continuous ambulatory peritoneal dialysis. Abdom Imaging 2005; 30 (03) 361-368
    CrossrefPubMedGoogle Scholar
  • 7 Juergensen PH, Rizvi H, Caride VJ, Kliger AS, Finkelstein FO. Value of scintigraphy in chronic peritoneal dialysis patients. Kidney Int 1999; 55 (03) 1111-1119
    CrossrefPubMedGoogle Scholar
  • 8 Tokmak H, Mudun A, Türkmen C, Şanli Y, Cantez S, Bozfakioğlu S. The role of peritoneal scintigraphy in the detection of continuous ambulatory peritoneal dialysis complications. Ren Fail 2006; 28 (08) 709-713
    CrossrefPubMedGoogle Scholar
  • 9 Fujino Y, Kawada N, Ito K. et al. Recurrent pleuroperitoneal leak caused by diaphragm blebs in a peritoneal dialysis patient: a case report with literature review. Ren Replace Ther 2018; 4: 1-4
    CrossrefGoogle Scholar
  • 10 Berman C, Velchik MG, Shusterman N, Alavi A. The clinical utility of the Tc-99m SC intraperitoneal scan in CAPD patients. Clin Nucl Med 1989; 14 (06) 405-409
    CrossrefPubMedGoogle Scholar
  • 11 Johnson J, Baum S, Smink Jr RD. Radionuclide imaging in the diagnosis of hernias related to peritoneal dialysis. Arch Surg 1987; 122 (08) 952-954
    CrossrefPubMedGoogle Scholar
  • 12 Walker JV, Fish MB. Scintigraphic detection of abdominal wall and diaphragmatic peritoneal leaks in patients on continuous ambulatory peritoneal dialysis. J Nucl Med 1988; 29 (09) 1596-1602
    PubMedGoogle Scholar
  • 13 Schuster DM, Mukundan Jr S, Small W, Fajman WA. The use of the diagnostic radionuclide ascites scan to facilitate treatment decisions for hepatic hydrothorax. Clin Nucl Med 1998; 23 (01) 16-18
    CrossrefPubMedGoogle Scholar
  • 14 Covington MF, Choudhary G, Avery RJ, Krupinski EA, Kuo PH. Optimal time points for scintigraphic imaging of pleuroperitoneal shunts. Clin Nucl Med 2016; 41 (10) 766-768
    CrossrefPubMedGoogle Scholar
  • 15 Bhattacharya A, Mittal BR. Peritoneo-scrotal communication: demonstration by 99mtechnetium sulphur colloid scintigraphy. Australas Radiol 2005; 49 (04) 335-337
    CrossrefPubMedGoogle Scholar
  • 16 Tang S, Chui WH, Tang AWC. et al. Video-assisted thoracoscopic talc pleurodesis is effective for maintenance of peritoneal dialysis in acute hydrothorax complicating peritoneal dialysis. Nephrol Dial Transplant 2003; 18 (04) 804-808
    CrossrefPubMedGoogle Scholar
  • 17 Israel O, Pellet O, Biassoni L. et al. Two decades of SPECT/CT - the coming of age of a technology: an updated review of literature evidence. Eur J Nucl Med Mol Imaging 2019; 46 (10) 1990-2012
    CrossrefPubMedGoogle Scholar
  • 18 Farid K, Guyot M, Jeandot R, Durieux M, Allard M, Fernandez P. SPECT-CT improves detection of small peritoneal fistula. Clin Nucl Med 2009; 34 (09) 634-635
    CrossrefPubMedGoogle Scholar
  • 19 Buck AK, Nekolla S, Ziegler S. et al. SPECT/CT. J Nucl Med 2008; 49 (08) 1305-1319
    CrossrefPubMedGoogle Scholar
  • 20 Parungo CP, Soybel DI, Colson YL. et al. Lymphatic drainage of the peritoneal space: a pattern dependent on bowel lymphatics. Ann Surg Oncol 2007; 14 (02) 286-298
    CrossrefPubMedGoogle Scholar
  • 21 Debois JM. Metastases from cancers of the urogenital tract. In: TxNxM1: The Anatomy and Clinics of Metastatic Cancer. 1st edition. Dordrecht: Springer Netherlands; 2002: 456-579
    Google Scholar