Five months after starting continuous ambulatory peritoneal dialysis (CAPD), a communicating hydrocele developed with massive edema of the scrotum and of the penis. Peritoneal injection of radioactive technetium (Tc99m) demonstrated a tract suggesting an open processus vaginalis. It is assumed that the rise in intraabdominal pressure during the CAPD procedure led to a reopening of this processus vaginalis. Therapy consisted in its ligation.
GrayS.W., SkandalakisJ.E.Incomplete closure of the procesus vaginalis. In: Embryology for surgeons.Philadelphia. 1972: 417.
4.
O'ConnorJ., RutlandM.Demonstration of a pleuro-peritoneal communication with radionuclide imaging in a CAPD patient.Perit Dial Bull1981; 1: 153.
5.
SpadaroJ.J., ThakurV., NolphK.D.Technetium -99m -Labelled macro aggregated albumin in demonstration of transdiaphragIIIatic leakage of dialysate in peritoneal dialysis.Am J Nephrol1982; 2: 36.
6.
O'SullivanJ.C.Female sterility produced by investigation.Br Med J1973; 4: 490.
