array:21 [
  "pii" => "X2013251409003754"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
  "estado" => "S300"
  "fechaPublicacion" => "2009-10-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2009;29:498-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3644
    "formatos" => array:3 [
      "EPUB" => 280
      "HTML" => 2883
      "PDF" => 481
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699509003757"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
      "estado" => "S300"
      "fechaPublicacion" => "2009-10-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2009;29:498-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 9832
        "formatos" => array:3 [
          "EPUB" => 262
          "HTML" => 9050
          "PDF" => 520
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Edema genital en diálisis peritoneal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "498"
            "paginaFinal" => "499"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Genital oedema in peritoneal dialysis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Juan Santos Nores, M. P. Borrajo Prol, O. Conde Rivera, C. Pérez Melón"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Juan"
                "apellidos" => "Santos Nores"
              ]
              1 => array:2 [
                "Iniciales" => "M. P."
                "apellidos" => "Borrajo Prol"
              ]
              2 => array:2 [
                "Iniciales" => "O."
                "apellidos" => "Conde Rivera"
              ]
              3 => array:2 [
                "Iniciales" => "C."
                "apellidos" => "Pérez Melón"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251409003754"
          "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003754?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003757?idApp=UINPBA000064"
      "url" => "/02116995/0000002900000005/v0_201502091404/X0211699509003757/v0_201502091405/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251409003746"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.5.5431.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-10-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2009;29:499-500"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3896
      "formatos" => array:3 [
        "EPUB" => 250
        "HTML" => 3184
        "PDF" => 462
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Distal renal tubular acidosis with neurosensory deafness. Clinical evolution after 30 years of follow-up"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "499"
          "paginaFinal" => "500"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Acidosis tubular renal distal con sordera neurosensorial. Evolución clínica tras 30 años de seguimiento"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "43318078_t1_pag499.jpg"
              "Alto" => 219
              "Ancho" => 543
              "Tamanyo" => 14794
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Raquel López Hidalgo, A. Polo Moyano, M. Manjón Rodríguez, S. Cerezo Morales"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Raquel"
              "apellidos" => "López Hidalgo"
            ]
            1 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "Polo Moyano"
            ]
            2 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Manjón Rodríguez"
            ]
            3 => array:2 [
              "Iniciales" => "S."
              "apellidos" => "Cerezo Morales"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509003749"
        "doi" => "10.3265/Nefrologia.2009.29.5.5431.en.full"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003749?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003746?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003746/v0_201502091626/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251409003762"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.5.5388.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-10-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2009;29:497-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 7792
      "formatos" => array:3 [
        "EPUB" => 262
        "HTML" => 5977
        "PDF" => 1553
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Syndrome of inappropriate antidiuretic hormone hypersecretion caused by pneumonia diagnosed using a CT scan"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "497"
          "paginaFinal" => "498"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Síndrome de secreción inadecuada de hormona antidiurética debido a neumonía diagnosticada por TAC"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "43118078_f1_pag497.jpg"
              "Alto" => 274
              "Ancho" => 543
              "Tamanyo" => 27309
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Montserrat Picazo Sánchez, M. Cuxart Pérez, R. Sans Lorman, C. Sardà Borroy"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Picazo Sánchez"
            ]
            1 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Cuxart Pérez"
            ]
            2 => array:2 [
              "Iniciales" => "R."
              "apellidos" => "Sans Lorman"
            ]
            3 => array:2 [
              "Iniciales" => "C."
              "apellidos" => "Sardà Borroy"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509003765"
        "doi" => "10.3265/Nefrologia.2009.29.5.5388.en.full"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003765?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003762?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003762/v0_201502091626/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Genital oedema in peritoneal dialysis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "498"
        "paginaFinal" => "499"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Juan Santos Nores, M. P. Borrajo Prol, O. Conde Rivera, C. Pérez Melón"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Juan"
            "apellidos" => "Santos Nores"
            "email" => array:1 [
              0 => "juansn_5@hotmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "M. P."
            "apellidos" => "Borrajo Prol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "O."
            "apellidos" => "Conde Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "C."
            "apellidos" => "P&#233;rez Mel&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio Nefrología, Complexo Hospitalario de Ourense, Ourense, Ourense, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Edema genital en di&#225;lisis peritoneal"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">Dear Editor&#44;</p><p class="elsevierStylePara">Genital oedema is a relatively common complication in peritoneal haemodialysis&#46; Different tests are used to diagnose the possible causes&#46; We would like to present the case of an 80-year-old male patient with a history of colon cancer in 1995&#44; monoclonal gammopathy of undetermined significance and chronic kidney disease of unknown origin&#44; who began haemodialysis in 1999&#46; After failing with several AV fistulas and being unable to create a new vascular access point&#44; a permanent catheter was implanted in the right internal jugular vein in July 2004&#46; In April 2009&#44; an attempt was made to replace the permanent catheter but it was unsuccessful&#46; Angiography of the vena cava revealed occlusion of the superior vena cava adjacent to the right auricle&#44; with collateral circulation developing in the azygos vein&#46;</p><p class="elsevierStylePara">Since vascular access for haemodialysis was impossible&#44; a peritoneal catheter was implanted and the ventral hernia was repaired with mesh&#46; This procedure was carried out by the Department of General Surgery and the removal of some loose adhesions was performed at the same time&#46;</p><p class="elsevierStylePara">Seven days after the insertion of the peritoneal catheter&#44; dialysis was started with a cycler and low infusion volumes&#46; Forty-eight hours after starting the technique a very significant bilateral oedema affecting the scrotum and penis was observed&#46;</p><p class="elsevierStylePara">Peritoneal dialysis was suspended for one week and the patient&#191;s condition progressively improved until the oedema disappeared&#46; During this period haemodialysis was carried out using a femoral catheter with no complications&#46;</p><p class="elsevierStylePara">Peritoneal dialysis was attempted once more using a cycler and low volumes but the scrotal oedema reappeared after the first session&#46;</p><p class="elsevierStylePara">In order to establish the cause of the oedema&#44; iodinated contrast was administered through the peritoneal catheter &#40;iobitridol 300mg&#47;l&#41;&#44; regular abdominal control x-rays were carried out afterwards&#46; At first 25ml of contrast was administered and the presence of the contrast was observed in the abdominal cavity &#40;figure 1&#41;&#46; Another 25ml was administered five minutes later and an x-ray in with the patient in the standing position was carried out&#44; which showed the flow of the contrast from the peritoneal cavity to the scrotum in relation to the persisting peritoneo-vaginal canal &#40;figure 2&#41;&#46;</p><p class="elsevierStylePara">Genital oedema is well documented in peritoneal dialysis patients&#46;<span class="elsevierStyleSup">1</span> This phenomenon is associated with the flow of dialysis liquid from the abdominal cavity though inguinal hernias&#44; a persisting peritoneo-vaginal canal&#44; abdominal wall defects&#44; etc&#46;</p><p class="elsevierStylePara">The most commonly used method for diagnosis is a CT scan carried out after the infusion of two litres of dialysis liquid that contains contrast&#46;<span class="elsevierStyleSup">2&#44;3</span> Another technique used is gammagraphy with Tc-99m&#46;<span class="elsevierStyleSup">4&#44;5</span></p><p class="elsevierStylePara">In the case of this patient&#44; we have shown how a simple and easily accessible diagnostic procedure can help to identify the cause of genital oedema and establish the need for surgery&#46; <br></br></p>"
    "pdfFichero" => "P-E-S-A432-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Davidson PG, Usal H, Fiorillo MA, Maniscalco A. The importance of peritoneal imaging in the workup of genital edema in patients on continuos ambulatory peritoneal dialysis. Mt Sinai J Med 1999;66(2):125-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10100417" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Leblanc M, Ouimet D, Pichette V. Dialysate leaks in peritoneal dialysis. Semin Dial 2001;14(1):50-4. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11208040" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Litherland J, Lupton EW, Ackrill PA, Venning M, Sambrook P. Computed tomographic peritoneography: CT manifestations in the investigation of leaks and abnormal collections in patients on CAPD. Nephrol Dial Transplant 1994;9:1449-52. <a href="http://www.ncbi.nlm.nih.gov/pubmed/7816259" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Bhattacharya A, Mittal BR. Peritoneoscrotal communication: demonstration by 99mtechnetium sulphur colloid scintigraphy. Australas Radiol 2005;49(4):335-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16026444" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tokmak H, Mudun A, Türkmen C, Sanli Y, Cantez S, Bozfakioglu S. The role of peritoneal scintigraphy in the detection of continuous ambulatory peritoneal dialysis complications. Ren Fail 2006;28(8):709-13.  <a href="http://www.ncbi.nlm.nih.gov/pubmed/17162431" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003754/v0_201502091626/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002900000005/v0_201502091625/X2013251409003754/v0_201502091626/en/P-E-S-A432-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003754?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Genital oedema in peritoneal dialysis
Edema genital en diálisis peritoneal
Juan Santos Noresa, M. P.. Borrajo Prola, O.. Conde Riveraa, C.. Pérez Melóna
a Servicio Nefrología, Complexo Hospitalario de Ourense, Ourense, Ourense, España,
Read
10253
Times
was read the article
1992
Total PDF
8261
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251409003754"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
  "estado" => "S300"
  "fechaPublicacion" => "2009-10-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:498-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3644
    "formatos" => array:3 [
      "EPUB" => 280
      "HTML" => 2883
      "PDF" => 481
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699509003757"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
      "estado" => "S300"
      "fechaPublicacion" => "2009-10-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2009;29:498-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 9832
        "formatos" => array:3 [
          "EPUB" => 262
          "HTML" => 9050
          "PDF" => 520
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Edema genital en di&#225;lisis peritoneal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "498"
            "paginaFinal" => "499"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Genital oedema in peritoneal dialysis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Juan Santos Nores, M. P. Borrajo Prol, O. Conde Rivera, C. P&#233;rez Mel&#243;n"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Juan"
                "apellidos" => "Santos Nores"
              ]
              1 => array:2 [
                "Iniciales" => "M. P."
                "apellidos" => "Borrajo Prol"
              ]
              2 => array:2 [
                "Iniciales" => "O."
                "apellidos" => "Conde Rivera"
              ]
              3 => array:2 [
                "Iniciales" => "C."
                "apellidos" => "P&#233;rez Mel&#243;n"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251409003754"
          "doi" => "10.3265/Nefrologia.2009.29.5.5418.en.full"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003754?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003757?idApp=UINPBA000064"
      "url" => "/02116995/0000002900000005/v0_201502091404/X0211699509003757/v0_201502091405/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251409003746"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.5.5431.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-10-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:499-500"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3896
      "formatos" => array:3 [
        "EPUB" => 250
        "HTML" => 3184
        "PDF" => 462
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Distal renal tubular acidosis with neurosensory deafness&#46; Clinical evolution after 30 years of follow-up"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "499"
          "paginaFinal" => "500"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Acidosis tubular renal distal con sordera neurosensorial&#46; Evoluci&#243;n cl&#237;nica tras 30 a&#241;os de seguimiento"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "43318078_t1_pag499.jpg"
              "Alto" => 219
              "Ancho" => 543
              "Tamanyo" => 14794
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Raquel L&#243;pez Hidalgo, A. Polo Moyano, M. Manj&#243;n Rodr&#237;guez, S. Cerezo Morales"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Raquel"
              "apellidos" => "L&#243;pez Hidalgo"
            ]
            1 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "Polo Moyano"
            ]
            2 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Manj&#243;n Rodr&#237;guez"
            ]
            3 => array:2 [
              "Iniciales" => "S."
              "apellidos" => "Cerezo Morales"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509003749"
        "doi" => "10.3265/Nefrologia.2009.29.5.5431.en.full"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003749?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003746?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003746/v0_201502091626/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251409003762"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.2009.29.5.5388.en.full"
    "estado" => "S300"
    "fechaPublicacion" => "2009-10-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2009;29:497-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 7792
      "formatos" => array:3 [
        "EPUB" => 262
        "HTML" => 5977
        "PDF" => 1553
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Syndrome of inappropriate antidiuretic hormone hypersecretion caused by pneumonia diagnosed using a CT scan"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "497"
          "paginaFinal" => "498"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome de secreci&#243;n inadecuada de hormona antidiur&#233;tica debido a neumon&#237;a diagnosticada por TAC"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "43118078_f1_pag497.jpg"
              "Alto" => 274
              "Ancho" => 543
              "Tamanyo" => 27309
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Montserrat Picazo S&#225;nchez, M. Cuxart P&#233;rez, R. Sans Lorman, C. Sard&#224; Borroy"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Picazo S&#225;nchez"
            ]
            1 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "Cuxart P&#233;rez"
            ]
            2 => array:2 [
              "Iniciales" => "R."
              "apellidos" => "Sans Lorman"
            ]
            3 => array:2 [
              "Iniciales" => "C."
              "apellidos" => "Sard&#224; Borroy"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699509003765"
        "doi" => "10.3265/Nefrologia.2009.29.5.5388.en.full"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699509003765?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003762?idApp=UINPBA000064"
    "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003762/v0_201502091626/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Genital oedema in peritoneal dialysis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "498"
        "paginaFinal" => "499"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Juan Santos Nores, M. P. Borrajo Prol, O. Conde Rivera, C. P&#233;rez Mel&#243;n"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Juan"
            "apellidos" => "Santos Nores"
            "email" => array:1 [
              0 => "juansn&#95;5&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "M. P."
            "apellidos" => "Borrajo Prol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "O."
            "apellidos" => "Conde Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "C."
            "apellidos" => "P&#233;rez Mel&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio Nefrología, Complexo Hospitalario de Ourense, Ourense, Ourense, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Edema genital en di&#225;lisis peritoneal"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">Dear Editor&#44;</p><p class="elsevierStylePara">Genital oedema is a relatively common complication in peritoneal haemodialysis&#46; Different tests are used to diagnose the possible causes&#46; We would like to present the case of an 80-year-old male patient with a history of colon cancer in 1995&#44; monoclonal gammopathy of undetermined significance and chronic kidney disease of unknown origin&#44; who began haemodialysis in 1999&#46; After failing with several AV fistulas and being unable to create a new vascular access point&#44; a permanent catheter was implanted in the right internal jugular vein in July 2004&#46; In April 2009&#44; an attempt was made to replace the permanent catheter but it was unsuccessful&#46; Angiography of the vena cava revealed occlusion of the superior vena cava adjacent to the right auricle&#44; with collateral circulation developing in the azygos vein&#46;</p><p class="elsevierStylePara">Since vascular access for haemodialysis was impossible&#44; a peritoneal catheter was implanted and the ventral hernia was repaired with mesh&#46; This procedure was carried out by the Department of General Surgery and the removal of some loose adhesions was performed at the same time&#46;</p><p class="elsevierStylePara">Seven days after the insertion of the peritoneal catheter&#44; dialysis was started with a cycler and low infusion volumes&#46; Forty-eight hours after starting the technique a very significant bilateral oedema affecting the scrotum and penis was observed&#46;</p><p class="elsevierStylePara">Peritoneal dialysis was suspended for one week and the patient&#191;s condition progressively improved until the oedema disappeared&#46; During this period haemodialysis was carried out using a femoral catheter with no complications&#46;</p><p class="elsevierStylePara">Peritoneal dialysis was attempted once more using a cycler and low volumes but the scrotal oedema reappeared after the first session&#46;</p><p class="elsevierStylePara">In order to establish the cause of the oedema&#44; iodinated contrast was administered through the peritoneal catheter &#40;iobitridol 300mg&#47;l&#41;&#44; regular abdominal control x-rays were carried out afterwards&#46; At first 25ml of contrast was administered and the presence of the contrast was observed in the abdominal cavity &#40;figure 1&#41;&#46; Another 25ml was administered five minutes later and an x-ray in with the patient in the standing position was carried out&#44; which showed the flow of the contrast from the peritoneal cavity to the scrotum in relation to the persisting peritoneo-vaginal canal &#40;figure 2&#41;&#46;</p><p class="elsevierStylePara">Genital oedema is well documented in peritoneal dialysis patients&#46;<span class="elsevierStyleSup">1</span> This phenomenon is associated with the flow of dialysis liquid from the abdominal cavity though inguinal hernias&#44; a persisting peritoneo-vaginal canal&#44; abdominal wall defects&#44; etc&#46;</p><p class="elsevierStylePara">The most commonly used method for diagnosis is a CT scan carried out after the infusion of two litres of dialysis liquid that contains contrast&#46;<span class="elsevierStyleSup">2&#44;3</span> Another technique used is gammagraphy with Tc-99m&#46;<span class="elsevierStyleSup">4&#44;5</span></p><p class="elsevierStylePara">In the case of this patient&#44; we have shown how a simple and easily accessible diagnostic procedure can help to identify the cause of genital oedema and establish the need for surgery&#46; <br></br></p>"
    "pdfFichero" => "P-E-S-A432-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Davidson PG, Usal H, Fiorillo MA, Maniscalco A. The importance of peritoneal imaging in the workup of genital edema in patients on continuos ambulatory peritoneal dialysis. Mt Sinai J Med 1999;66(2):125-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10100417" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Leblanc M, Ouimet D, Pichette V. Dialysate leaks in peritoneal dialysis. Semin Dial 2001;14(1):50-4. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11208040" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Litherland J, Lupton EW, Ackrill PA, Venning M, Sambrook P. Computed tomographic peritoneography: CT manifestations in the investigation of leaks and abnormal collections in patients on CAPD. Nephrol Dial Transplant 1994;9:1449-52. <a href="http://www.ncbi.nlm.nih.gov/pubmed/7816259" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Bhattacharya A, Mittal BR. Peritoneoscrotal communication: demonstration by 99mtechnetium sulphur colloid scintigraphy. Australas Radiol 2005;49(4):335-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16026444" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tokmak H, Mudun A, Türkmen C, Sanli Y, Cantez S, Bozfakioglu S. The role of peritoneal scintigraphy in the detection of continuous ambulatory peritoneal dialysis complications. Ren Fail 2006;28(8):709-13.  <a href="http://www.ncbi.nlm.nih.gov/pubmed/17162431" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002900000005/v0_201502091625/X2013251409003754/v0_201502091626/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002900000005/v0_201502091625/X2013251409003754/v0_201502091626/en/P-E-S-A432-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409003754?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 11 8 19
2024 October 153 36 189
2024 September 134 28 162
2024 August 144 54 198
2024 July 178 36 214
2024 June 143 23 166
2024 May 136 25 161
2024 April 98 27 125
2024 March 92 26 118
2024 February 91 32 123
2024 January 88 22 110
2023 December 84 21 105
2023 November 93 29 122
2023 October 119 24 143
2023 September 95 29 124
2023 August 110 20 130
2023 July 108 27 135
2023 June 88 21 109
2023 May 115 36 151
2023 April 86 16 102
2023 March 115 29 144
2023 February 103 36 139
2023 January 114 31 145
2022 December 118 43 161
2022 November 125 43 168
2022 October 102 38 140
2022 September 91 29 120
2022 August 105 52 157
2022 July 100 39 139
2022 June 93 31 124
2022 May 106 27 133
2022 April 92 37 129
2022 March 90 37 127
2022 February 110 30 140
2022 January 109 27 136
2021 December 77 42 119
2021 November 77 39 116
2021 October 67 45 112
2021 September 62 22 84
2021 August 54 31 85
2021 July 108 25 133
2021 June 49 21 70
2021 May 102 19 121
2021 April 200 42 242
2021 March 102 17 119
2021 February 106 22 128
2021 January 73 14 87
2020 December 78 6 84
2020 November 60 8 68
2020 October 45 19 64
2020 September 41 4 45
2020 August 53 13 66
2020 July 46 2 48
2020 June 50 10 60
2020 May 55 18 73
2020 April 50 9 59
2020 March 52 8 60
2020 February 55 17 72
2020 January 65 20 85
2019 December 59 13 72
2019 November 54 21 75
2019 October 41 7 48
2019 September 52 14 66
2019 August 40 7 47
2019 July 27 15 42
2019 June 19 5 24
2019 May 23 9 32
2019 April 67 35 102
2019 March 24 14 38
2019 February 17 17 34
2019 January 25 16 41
2018 December 50 26 76
2018 November 76 17 93
2018 October 81 13 94
2018 September 60 19 79
2018 August 35 12 47
2018 July 43 7 50
2018 June 60 13 73
2018 May 37 13 50
2018 April 35 9 44
2018 March 35 9 44
2018 February 43 3 46
2018 January 30 9 39
2017 December 39 7 46
2017 November 13 2 15
2017 October 27 5 32
2017 September 24 9 33
2017 August 21 6 27
2017 July 25 8 33
2017 June 33 8 41
2017 May 31 10 41
2017 April 25 8 33
2017 March 27 15 42
2017 February 22 12 34
2017 January 18 12 30
2016 December 38 4 42
2016 November 41 6 47
2016 October 58 5 63
2016 September 84 3 87
2016 August 99 4 103
2016 July 141 3 144
2016 June 105 0 105
2016 May 101 0 101
2016 April 71 0 71
2016 March 76 0 76
2016 February 83 0 83
2016 January 87 0 87
2015 December 89 0 89
2015 November 80 0 80
2015 October 69 0 69
2015 September 43 0 43
2015 August 63 0 63
2015 July 45 0 45
2015 June 38 0 38
2015 May 33 0 33
2015 April 13 0 13
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?