Single Photon Emission Tomography (Spect) Imaging is Essential to Show Hernia of Peritoneum in Peritoneal Scintigraphy in Peritoneal Dialysis Patients

Imaging of the complications of peritoneal dialysis is possible by means of morphologic imaging methods and peritoneal scintigraphy. Peritoneal scintigraphy is a new entity and improvement of this modality might result in better results. Aim of this study is to investigate diagnostic performance of additional SPECT imaging in peritoneal scintigraphy in chronic peritoneal dialysis patients. Four peritoneal dialysis patients (3 F, 1M; mean: 46±5,4 years old) with suspicion of mechanical peritoneal complications (leak, hernia or fistula) were included to the study. Peritoneal scintigraphy with Tc-99m Macroagregated Albümin (MAA) and additional SPECT imaging were performed to the patients. Dynamic and planar images and SPECT images were compared according to diagnostic considerations. In estimation of SPECT imaging, inguinal hernia was observed in one patient and hernias in the Douglas space were observed in two patients additional to planar peritoneal scintigraphy. Additional SPECT imaging might improve the diagnostic performance of peritoneal scintigraphy significantly according to our results in peritoneal dialysis patients.