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CT contrast peritoneal dialysis

Peritoneal dialysis is also effective in removing contrast agents from the body but takes longer than HD. Dialysis immediately after radiographic contrast studies has been suggested for two groups of patients. Those on chronic HD and those at very high risk for contrast nephropathy Computed tomographic (CT) peritoneography involves CT of the abdomen and pelvis after administration of a mixture of contrast material and dialysate. CT peritoneography can demonstrate a variety of complications of continuous ambulatory peritoneal dialysis

Dialysis and iodinated contrast medi

  1. peritoneal dialysis (36-60l dialysis fluid) was able to remove 43-72% of the iohexol over 16-18h. In another study, intermittent peritoneal dialysis for 64h removed 56% of the injected high osmolar contrast media. Continuous ambul-atory peritoneal dialysis of 10 patients in chronic renal failur
  2. ister IV contrast with the general recommendation that the patient should undergo dialysis within 24-48 hours to reduce the intravascular volume load. As above, there is no need for more urgent dialysis and this is concordant with our current policy

Intravenous iodinated contrast media are commonly used with CT to evaluate disease and to determine treatment response. The risk of acute kidney injury (AKI) developing in patients with reduced kidney function following exposure to intravenous iodinated contrast media has been overstated Patients receiving IV iodinated contrast media prior to CT or X-rays to improve visibility of the results. Special considerations are required for patients with renal failure, multiple myeloma, or those taking Metformin. Acute contrast reactions such as hives or bronchospasm are possible Mythbuster. Despite the theoretical concerns, there is no need for urgent dialysis after IV contrast administration in an ESRD patient on chronic dialysis. The patient should be able to wait until their next scheduled dialysis session. In fact, the 2016 American College of Radiology's Manual on Contrast Media states, Unless an unusually.

Timing of CT-series is important in order to grab the right moment of maximal contrast differences between a lesion and the normal parenchyma. The CT-images show an early arterial phase in comparison to a late arterial phase. The CT-images are of a patient who underwent two phases of arterial imaging at 18 and 35 seconds Moreover, in a systematic review on the CIN onset and the need for dialysis in patients receiving contrast CT, the CIN incidence rate was 6.4% (95% CI 5.0-8.1), but the need for dialysis was as low as 0.06% (95% CI 0.01-0.4) ACR MANUAL ON CONTRAST MEDIA - PREFACE 1 . PREFACE . This edition of the ACR Manual on Contrast Media replaces all earlier editions.It is being published as a web-based document only so it can be updated as frequently as needed Technique Before performing CT peritoneography, the peritoneal cavity is completely drained of dialysate. Next, 1 mL/kg of non-ionic contrast material (iodine, 300 mg/mL) is mixed with 30 mL/kg of dialysate and infused into the peritoneal cavity. Some add 50 ml of contrast medium for each 1 liter of dialysis fluid

Peritoneal Dialysis; which are commonly used for computed tomography (CT). and after contrast use. Do not initiate or alter renal replacement therapy solely for contrast media.. For patients with end stage renal disease who are on chronic peritoneal dialysis, non contrast should be considered and contrast should only be administered after discussion with the patient's nephrologist. This conversation must be documented Peritoneal dialysis is also effective in removing contrast agents from the body but takes longer than HD. Dialysis immediately after radiographic contrast studies has been suggested for two groups..

Complications of peritoneal dialysis: evaluation with CT

What you DO want to avoid is giving a patient on the cusp of needing dialysis, with CKD-IV or V, a huge contrast load. You don't want to push them over the edge. Before giving them a CT torso with contrast, or sending them for cardiac catheterization, think about giving a little fluid beforehand and discussing with the renal experts CT Peritoneography- The use of CT imagery as a diagnostic tool to visualize a patient's peritoneal cavity utilizing contrast dye Peritoneal dialysis (per-ih-toe-NEE-ul die-AL-uh-sis) is a way to remove waste products from your blood when your kidneys can't adequately do the job any longer. This procedure filters the blood in a different way than does the more common blood-filtering procedure called hemodialysis Background. Residual renal function (RRF) is an important predictor of outcome in peritoneal dialysis (PD) patients. Although increasing emphasis has been placed on preserving RRF, the nephrotoxicity associated with contrast medium administration in PD patients remains a controversial issue

  1. of any contrast agent. Patients already on hemodialysis or peritoneal dialysis may undergo contrast-enhanced CT if there is no residual renal function. For MRI, there are risk-benefit considerations with respect to the type of gadolinium-based contrast agents
  2. Pseudoenhancement is an artifact encountered with contrast-enhanced CT, whereby the calculated density of a lesion is inaccurately increased.This phenomenon is most often problematic during evaluation of renal cysts by CT.. On CT, it can be challenging to distinguish cystic versus solid renal lesions
  3. GBCAs should be preferred in patients at high risk of contrast-induced nephropathy (CIN) after contrast-enhanced CT , as those with acute kidney injury and in the predialysis CKD stages, in order to prevent an irreversible worsening of renal function or the beginning of unplanned dialysis treatment
  4. istration of intravenous gadolinium. Risk factor is acute or chronic renal failure. Informed consent should be obtained by the radiologist if intravenous gadolinium is to be given to high risk patients
  5. istered. -
  6. ation of iodinated radiocontrast media may cause adverse events in chronic dialysis patients with anuria or cardiovascular dysfunction

Residual renal function is an independent predictor of survival in peritoneal dialysis patients. Systemic administration of radio contrast media (CM) may increase the risk of acute renal failure in patients with impaired renal function not on dialysis. There are few data on the influence of CM administration in dialysis patients CT peritoneography has the capability to define clearly the peritoneal cavity, but it does require the use of intraperitoneal contrast and, in most patients, the additional use of oral or intravenous contrast. Peritoneal scintigraphy has the added advantage of determining if the free flow of fluid within the peritoneal cavity is present In 1968, Henry Tenckhoff developed the indwelling peritoneal catheter, which was inserted following an open surgical technique. In 1970, he reported about 16 patients being treated with the self-PD for up to 4 years . The PD was popularized by Popovich and Moncrief who developed continuous ambulatory peritoneal dialysis (CAPD)

• CT peritoneography • Abdominal fluoroscopy with contrast • Peritoneal scintigraphy • Peritoneal MRI with dialysate as contrast of abdominal wall hernias in continuous ambulatory peritoneal dialysis patients. Hernia 2004;8:354-7 2. Crabtree JH. Hernia repair without delay in initiating or continuing peritoneal dialysis When a catheter is not functioning properly, it may be injected with contrast and imaged to identify any obstruction or malposition. Codes 49400 and 74190 are used together for injection of contrast material into the peritoneal cavity through the dialysis catheter with an evaluation of the images obtained Anatomy of the abdominopelvic cavity (CT-Scan) We commonly use normal exams of healthy patients to create the anatomical modules of e-Anatomy. In this case, we deliberately chose an abnormal patient with an important peritoneal effusion. This allows the user to perfectly see the different parts of the peritoneal cavity (omental bursa, paracolic.

A 45-year-old man on continuous ambulatory peritoneal

The diameter of the peritoneal component of the shunt system is 1.2 mm with a cross-sectional area of 1.13 mm 2. At 20 mL/h, contrast material would travel 88 cm in 3 minutes, consistent with rapid shunt clearing observed in healthy children. At 2 mL/h, contrast would travel 8.7 cm in 3 minutes, or 34 cm in 12 minutes Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including th Diabetes has become the most common cause of end-stage renal disease (ESRD) requiring renal replacement therapy (RRT) in most countries around the world. Peritoneal dialysis (PD) is valuable for patients newly requiring RRT because of the preservation of residual renal function (RRF), higher quality of life, and hemodynamic stability in comparison with hemodialysis (HD) A patient is scheduled for a CT scan of the abdomen with contrast. The patient has a baseline creatinine level of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders? A) Monitor the patient's electrolyte values every hour before the procedure. Peritoneal dialysis is not the best choice, as the patient. Headquarters Office. 1891 Preston White Dr. Reston, VA 20191 703-648-890

IV Contrast and Hemodialysis - Department of Radiology

  1. Unenhanced CT is used to assess for underlying stone disease, whereas dynamic contrast-enhanced CT is required to evaluate the renal parenchyma. In acute pyelonephritis, the nephrographic phase of contrast enhancement is superior for depicting the extent of the process
  2. Peritoneal-mediastinal communication complication of peritoneal dialysis demonstrated by multidetector-row CT peritoneography: A case report The Egyptian Journal of Radiology and Nuclear Medicine (2015) 46, 893-896 Egyptian Society of Radiology and Nuclear Medicine The Egyptian Journal of..
  3. al CT scan shows tumor masses (malignant lymphomas) in the area behind the peritoneal cavity (retroperitoneal space). This CT scan of the upper abdomen shows a large tumor (neuroblastoma) on the person's right side (lower left side of picture). The tumor is behind the liver and is pushing the liver forward and may have possibly.
  4. There are no special concerns for people with kidney problems having an MRI without contrast. Contrast agents, including gadolinium (gad-oh-LIN-e-um), are used to enhance some MRI scans. Contrast agents are injected into a vein in your hand or arm. Gadolinium-containing contrast agents may increase the risk of a rare but serious disease called.

Dialysis and iodinated contrast media - Kidney Internationa

After administration into the lumbar subarachnoid space, computerized tomography shows the presence of contrast medium in the thoracic region in about 1 hour, in the cervical region in about 2 hours, and in the basal cisterns in 3 to 4 hours. In patients with renal impairment, depending on the degree of impairment, prolonged plasm Browse through this National Kidney Foundation Provided dialysis overview. Find definitions, tips, and what you need to know about dialysis and kidney disease. Dialysis is a treatment that removes wastes and extra fluid from your blood when your kidneys are no longer able to do so effectively I have a history or peritoneal cancer and have to get either a CT with contrast or MRI with contrast every year for the past 5 years. For the last 2 years I opted for taking the MRI. If some gadolinium remains, I am concerned about an accumulative effect CT of the abdomen and pelvis is the first line imaging modality for staging, selecting treatment options and assessing disease response in ovarian cancer. The staging CT provides disease distribution, disease burden and is the imaging surrogate for surgico-pathological FIGO staging. Optimal cyto-reductive surgery offers patients' the best chance for disease control or cure, but sub-optimal.

RIGHT: At contrast-enhanced CT the wall of the gallbladder (arrow) appears nearly normal, because subserosal oedema can not be well differentiated from surrounding ascites at CT. Liver cirrhosis Systemic diseases such as hepatic dysfunction, heart failure, or renal failure may lead to diffuse gallbladder thickening [1, 2] Computed Tomography (CT)-guided needle biopsy of retroperitoneal masses is widely accepted as an effective In lesions at or below the level of renal pelvis, delayed contrast-enhanced CT scan was done for delineation of the ureters. Retro-peritoneal fibrosis. 2 Hayalinized tissue after chemotherapy for NHL 1 Necrotic tumor 2 Total 2 Nutritional factors are associated with high mortality and morbidity in dialysis patients, and protein-energy wasting is regarded as an important one. The modality of dialysis may affect patients' dietary behavior and nutritional status, but no study has compared the dietary behavior, nutrient intake, and nutritional adequacy of hemodialysis (HD) and peritoneal dialysis (PD) patients

Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis Peritoneal-mediastinal communication complication of peritoneal dialysis demonstrated by multidetector-row CT peritoneography: A case repor Other CT features that indicted BHVI/MI, but were false positives based on laparotomy findings, included intra- or retro-peritoneal air (n = 3), bowel wall thickening (n = 3), mesentery thickening (n = 9), mesenteric fat infiltration (n = 1), peritoneal fat infiltration (n = 10), bowel dilatation (n = 5), and parietal peritoneum thickening (n. CT scan is more sensitive than chest radiograph to identify lesions of IPA, especially at their early stage [138], and high-resolution computed tomography (also called thin-section CT scanning with a thin collimation of 0.25-1 mm) is the preferred method. CT angiography may be a useful test pending further evaluation [139]

• the diagnostic CT scan is ordered by the treating physician; and • there is a separate CT acquisition (data set) for the diagnostic CT scan. (According to the summer 2017 edition of Clinical Examples in Radiology, this typically involves administration of IV contrast and, potentially, multiple CT data acquisitions. In computed tomography, the X-ray beam moves in a circle around the body. This allows many different views of the same organ or structure. The X-ray information is sent to a computer that interprets the X-ray data and displays it in a two-dimensional (2D) form on a monitor. CT scans may be done with or without contrast {{configCtrl2.info.metaDescription} A CT scan may help doctors diagnose intestinal obstruction and find the location, cause, and severity of the obstruction. x-rays, which use a small amount of radiation to create pictures of the inside of the body. x-rays with water-soluble contrast medium, a special liquid that makes the digestive tract more visible on x-rays

Use of Intravenous Iodinated Contrast Media in Patients

  1. GlidePath™ Long-Term Hemodialysis Catheters are designed for high flow rates and low pressure performance due to their optimized inner lumens. Ease of Placement. One pre-loaded stylet to simplify over-the-wire-placement*. Smooth tapered tip and tapered cuff for easy insertion
  2. CT = computed tomography; UTI = urinary tract infection. *— Depending on complicating features, tests are listed in order of preferred use . Information from references 4 , 8 , 9 , 11 , 21 , 23.
  3. Speak with a trained peer mentor who can share their experiences about dialysis, transplant, or living kidney donation with you. Communities NKF communities offer a safe and supportive place where patients and caregivers can share experiences, ask questions and get answers related to kidney health, kidney disease, transplantation and living.
  4. peritoneal dialysis catheter. The body part value is G, Peritoneal Cavity in the Anatomical Regions, General body system. The device value is 0, Drainage Device. There is no qualifier value. Question arose whether this is an infusion or drainage device. If considered infusion device, ICD-10-PCS code is: 0WPG03Z. 3. ICD-10-PCS codes: 041K09N.
  5. al-pelvic exa

By contrast, peritoneal mesothelioma was the setting of choice for testing intraperitoneal administration of chemotherapy either as early postoperative intraperitoneal chemotherapy (EPIC) or as neoadjuvant intraperitoneal chemotherapy. Both studies offered promising results showing a sensitivity of MPM to intraperitoneal administration Abdominal radiographs are one of the most commonly performed radiological examinations and have an established role in the assessment of the acute abdomen. The main indication is for suspected bowel obstruction and in conjunction with an erect chest x-ray for suspected visceral perforation. Often, the pattern of gas points to a particular pathology, and accurate interpretation is important for.

Intravenous CT & X-ray Contrast Guidelines - UCSF Radiolog

FreeStyle Libre 14 day Indications and Important Safety Information. The FreeStyle Libre 14 day Flash Glucose Monitoring System is a continuous glucose monitoring (CGM) device indicated for the management of diabetes in persons age 18 and older. It is designed to replace blood glucose testing for diabetes treatment decisions Table A illustrates that CPT ® 74176 should be used only if both studies are done without contrast. Use CPT ® 74177 only if both studies are done with contrast. Code 74178 should be used in two situations:. One or both studies are done without contrast, followed by contrast material(s) and further sections. One study is done without contrast, while the other study is done with contrast IgA nephropathy, also known as Berger's disease, is a kidney disease that occurs when IgA deposits build up in the kidneys, causing inflammation that damages kidney tissues. IgA is an antibody—a protein made by the immune system to protect the body from foreign substances such as bacteria or viruses. Most people with IgA nephropathy receive. CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. American Medical Association, Intellectual.PropertyServices@ama-assn.org. CPT can no longer be served by BioPortal due to licensing constraints flouroscopic guided biopsy 77002 pelvis w/ contrast 72193 ct guided biopsy 77012 pelvis w/ & wo contrast 72194 mr guided biopsy 77021 sinuses/maxillofacial wo contrast 70486 sinuses/maxillofacial w/ contrast 70487. dialysis z49.01. rt lower quadrant r19.03. cerebrovascular accident i63.9. lt lower quadrant r19.04. cervical strain/sprain.

3- Avoid alcohol Hemodialysis and Peritoneal Dialysis: Indications of Peritonitis(Active Learning Template - System Disorder, RM AMS RN 11.0 Chp 57 Hemodialysis and Peritoneal Dialysis ) 1- Monitor for infection. 2- Abdominal pain is an early sign 3- Fever and bloating can occur Retroperitoneal bleed cause include 1): pelvic, abdominal or lumbar trauma (e.g. pelvic fractures) bleeding from underlying renal or adrenal pathology (e.g. renal angiomyolipomas; renal trauma) rarely spontaneous retroperitoneal hemorrhage or idiopathic retroperitoneal hematoma 2)

Mythbuster: Urgent dialysis following IV contrast

Abdominal CT scan shows retrocecal appendix enlargement of

The Radiology Assistant : CT contrast injection and protocol

Multiple studies have suggested that additional CT findings, such as IV contrast extravasation and/or large perirenal hematoma, may help predict which patients will eventually need intervention for bleeding complications. 42,54-56 Renal laceration complexity is also an important radiographic predictor for renal injury clinical outcome as. The decision to administer intravenous contrast to a patient is a complex and local one, made onsite by clinical teams and onsite physicians using best practices, even in the absence of a local radiology group. The presence of a thorough contrast protocol is necessary as is clinical expertise and judgment for individual patients A CT scan can be wrong: it can't tell the difference between cancerous tissue and non-cancerous tissue. 7, 8. CT scans can be misread or misinterpreted. 9. Imaging tests usually can't tell if a change has been caused by cancer. 10. CT scans can produce false negatives and false positives. 11, 12 0800 Inpatient Renal Dialysis Therapy (formerly Lithotripsy) 4. 1 Inpatient hemodialysis . 2 Inpatient peritoneal (non-CAPD) 3 1Inpatient CAPD 9. 4 2Inpatient CCPD . 9 related dietary therapy)Other inpatient dialysis . 081X Organ Acquisition . 1 Living donor . 2 Cadaver donor . 3 Unknown donor . 4 Unsuccessful organ search donor bank Charg

renal impairment and failure. 3,8 There are numerous indices of renal function and definitions of kidney dysfunction and failure described in the literature. In many cases little more than urine In contrast, balanced salt-based fluids such as lactated Ringer's solution (Hartman's solution, compoun CT scan is used to guide the needle into the lesion in the safest possible manner. This is a minimally invasive procedure and is an alternative to an open surgical biopsy. CT guidance generally results in fewer complications, a faster recovery time, and avoidance of general anesthesia. How Does a Patient Prepare for a CT Guided Biopsy What are the Limitations of the Temporary Dialysis Catheter Placement radiology procedure? The Temporary Dialysis Catheter Placement radiology procedure is only suited for a short-term. It does not provide long-term access, such as possible through a fistula or peritoneal dialysis procedure. What are some Questions for your Physician Unenhanced CT is a common choice but exposes the patient to ionizing radiation. Low-dose shunt protocols, which reduce tube current, result in suboptimal image quality compared with standard-dose CT but are diagnostically acceptable in the evaluation of shunt failure . Ventricular enlargement may be subtle and comparison with prior examinations.

Guideline on the use of iodinated contrast media in

Chapter 12: Electrophysiology and Ablation Co mplete Guide for Interventional Radiology 316 © 2014 Optum360, LLC CPT © 2014 American Medical Association The peritoneal cavity is a small area of space located between your internal abdominal organs and your inner abdominal wall. A CT scan can also be used to detect hemoperitoneum before laparotomy for blunt abdominal trauma between January 2011 and December 2013. According to surgical observations, patients were classified as having BHVI/MI (n = 73) or not (n = 78). Sensitivity, specificity, P values, and likelihood ratios were calculated by comparing CT findings between the 2 groups. Six significant CT findings (P < 0.05) for BHVI/MI were identified and their. In contrast, peritoneal dialysis and its inherent slow rate of ultrafiltration may minimize any acute rise in hematocrit and thus lower the risk of vaso-occlusive crisis. [ 38 ] Of interest, only 6.8% of SCD patients began dialysis with a functioning arteriovenous fistula, despite similar rates of predialysis nephrology care If your doctor suspects that you have cancer near your abdomen, they may recommend an abdomen CT scan. To help you prepare, here's a look at what to expect

CT peritoneography Radiology Reference Article

Peritoneal dialysis: In peritoneal dialysis, a dialysis solution is run directly into your abdomen. The solution absorbs waste and then is removed via catheter. Fresh solution is added to continue the process of cleaning. You can perform this type of dialysis yourself In contrast, peritoneal dialysis and its inherent slow rate of ultrafiltration may minimize any acute rise in hematocrit and thus lower the risk of vaso-occlusive crisis. [ 38 Catheter angiography uses a catheter, x-ray imaging guidance and an injection of contrast material to examine blood vessels in key areas of the body for abnormalities such as aneurysms and disease such as atherosclerosis (plaque). The use of a catheter makes it possible to combine diagnosis and treatment in a single procedure Browse 40 peritoneal cavity stock photos and images available, or search for peritoneal dialysis to find more great stock photos and pictures. {{filterDisplayName(filter)}} Duration. Clear filters. CT Scan Whole Abdomen with contrast CT Scan Whole Abdomen with contrast peritoneal cavity stock pictures, royalty-free photos & images A port-a-cath, also referred to as a port, is an implanted device which allows easy access to a patient's veins. A port-a-cath is surgically-inserted completely beneath the skin and consists of two parts - the portal and the catheter. The portal is typically made from a silicone bubble and appears as a small bump under the skin

peritoneal dialysis tube check 49400 & 74190 CT MYELOGRAM . CERVICAL 77003, 62284 & 7212 But we do have more data available about life expectancy in patients who do opt for dialysis. As per the United States Renal Data System report, expected survival for patients on dialysis could vary from 8 years (for patients aged 40 to 44) to 4.5 years (patients between 60 to 64 years of age). This is however the average, with wide.

Gastrografin (Diatrizoate Meglumine and Diatrizoate Sodium Solution) is a palatable lemon-flavored water-soluble iodinated radiopaque contrast medium for oral or rectal administration only. Each mL contains 660 mg diatrizoate meglumine and 100 mg diatrizoate sodium; pH has been adjusted to 6.0 to 7.6 with sodium hydroxide A computed tomography (CT) scan uses a special X-ray machine to take detailed pictures of the body's organs and tissues. In a . biopsy, a small piece of tissue is removed from your body. This tissue sample is then examined in the lab. A . needle biopsy. is the safes 02.04 Peritoneal Dialysis (PD) Questions: 10 ; 02.05 Hemodialysis (Renal Dialysis) A nurse is caring for a client who has an order for a CT scan with contrast. Which of the following medication orders would require further clarification from the provider Peritoneal dialysis cathetrisation (intermittent) 1000.00 Plasmapheresis 1000.00 Subclavian vein perm cathetre implantation 1000.0

Chronic kidney disease (CKD)—or chronic renal failure (CRF), as it was historically termed—is a term that encompasses all degrees of decreased renal function, from damaged-at risk through mild, moderate, and severe chronic kidney failure. CKD is a worldwide public health problem Renal cell carcinoma spreads in retroperitoneal space and often causes pressure symptoms on surrounding viscera and blood vessels. Extremely malignant and metastasize to distant soft tissue and bones. f) Cancer of Duodenum CT Scan-Provides better picture than plain X-Ray and understanding of the tumor mass Ascites is a condition in which fluid collects in spaces within your abdomen. As fluid collects in the abdomen, it can affect your lungs, kidneys, and other organs. Ascites causes abdominal pain, swelling, nausea, vomiting, and other difficulties. Stopping all alcohol intake, maintaining a healthy weight, exercising, not smoking, and limiting.

Relapsing peritonitis with Bacillus cereus in a patient on

Renal ultrasound can be used to identify a kidney mass, learn more about the structure of the patient's kidneys and bladder, check for signs of enlargement, and identify other physical problems with the kidneys and urinary tract. It can also be used for ultrasound-guided medical procedures. Kidneys play a crucial role in the urinary system and. Procedure Code AND Description. 76770 - Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete - Average fee amount $100 - $130. 76775 - Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited. 76776 - Ultrasound, transplanted kidney, real time and duplex Doppler with image documentatio

Recommendations for Use of IV Iodinated Contrast Media

A rare but serious complication of continuous ambulatory

Dialysis and iodinated contrast media

The Peritoneum | Radiology Key

Can I give contrast to a patient with end stage renal

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