Abstract
CASE 1 A 78-year-old man with end-stage renal disease (ESRD) due to hypertensive nephropathy started continuous ambulatory peritoneal dialysis (CAPD). Six months later, he was switched to hemodialysis (HD) for 4 weeks after surgical management of a right inguinal hernia. He developed severe penile and scrotal edema when he resumed CAPD after surgery. No changes in peritoneal ultrafiltration were observed. A peritoneal computed tomographic (CT) scan performed revealed free passage of contrast material into the left inguinal canal, and a diagnosis of left patent processus vaginalis (PPV) was made (Figure 1). CAPD was substituted with temporary HD. Scrotal swelling disappeared in 1 week and PD was started 6 weeks later.
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