technetium-tc-99m-sulfur-colloid and Genital-Diseases--Male

Continuous ambulatory peritoneal dialysis is a convenient alternate form of treatment in patients receiving hemodialysis for renal failure. Sometimes during the procedure, patients may develop scrotal swelling because of patent processus vaginalis. The diagnostic utility of the peritoneal scintigraphy, an infrequently performed nuclear medicine scan to identify peritoneoscrotal communication, has been reported by many authors. Most of the previous case reports in the literature demonstrated unilateral peritoneoscrotal communication. We present an interesting Tc-sulfur colloid peritoneal scintigraphic image finding of bilateral peritoneoscrotal communication in a 67-year-old man who developed scrotal swelling while undergoing continuous ambulatory peritoneal dialysis.

Topics: Aged; Edema; Genital Diseases, Male; Humans; Male; Peritoneal Dialysis, Continuous Ambulatory; Peritoneum; Radionuclide Imaging; Scrotum; Technetium Tc 99m Sulfur Colloid

Ten minutes after an intraperitoneal infusion of Tc-99m sulfur colloid, a gamma camera was used to obtain anterior abdominal views. This visualized a peritoneoscrotal communication in an 80-yr-old patient. He had developed extensive edema of the genitals and lower limbs after about 6 wk of continuous ambulatory peritoneal dialysis. At operation the communication was confirmed and closed. A repeat test verified the success of operation.

Topics: Aged; Fistula; Genital Diseases, Male; Humans; Inguinal Canal; Injections, Intraperitoneal; Male; Peritoneal Dialysis, Continuous Ambulatory; Peritoneal Diseases; Peritoneum; Radionuclide Imaging; Scrotum; Sulfur; Technetium; Technetium Tc 99m Sulfur Colloid