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Korean J Nephrol. 2008 Jul;27(4):487-491. Korean. Case Report.
Lee JH , Yoon HS , Cho HS , Lee EJ , Yoo YB , Park JH , Lee JH , Song JO , Jo YI .
Division of Nephrology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. nephjo@kuh.ac.kr
Division of Nephrology, Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.
Abstract

Scrotal edema may develop during continuous ambulatory peritoneal dialysis (CAPD). The two etiologic mechanisms are peritoneo-scrotal communication through a patent processus vaginalis or extravasation of dialysate through a defect of abdominal wall. We report two cases of scrotal edema due to inguinal hernia by peritoneo-scrotal communication during CAPD. The etiology of scrotal edema was confirmed by peritoneal scintigraphy and/or computed tomography. Scrotal edema due to inguinal hernia was completely resolved by a surgical repair of hernia and did not recur despite of resumption of peritoneal dialysis.

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