Omental wrap: Radiographic diagnosis confirmed surgically – Report of two cases in Grenada

Sanae Ogura, Germaine Bristol, Max Burchman, Linwald Fleary, Terron Hosten, Richard Amerling

Research output: Contribution to journalArticlepeer-review

Abstract

Omental wrapping is a common cause of peritoneal catheter malfunction. This diagnosis should be confirmed by radiography before proceeding with surgical omentectomy. We report two cases of peritoneal dialysis (PD) catheter outflow obstruction from our developing PD program in Grenada, in which contrast studies accurately diagnosed omental wrap, allowing for prompt surgical correction. In both cases, the contrast study indicated the presence of omental wrapping, confirmed at time of surgical correction. Radiographic features of omental wrap are distinctive, which allows for reliable differentiation from other causes of obstruction. Radiographic contrast study reliably diagnoses the cause of peritoneal catheter obstruction, permitting prompt diagnosis and treatment. This is vital for regions with limited access to haemodialysis.

Original languageEnglish
Pages (from-to)581-583
Number of pages3
JournalPeritoneal Dialysis International
Volume41
Issue number6
DOIs
StatePublished - Nov 2021
Externally publishedYes

Keywords

  • Complications
  • contrast catheter radiography
  • diagnostic radiographic imaging
  • omental wrap
  • peritoneal dialysis

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