A Case of Encapsulating Peritoneal Sclerosis, Presenting as Hemoperitoneum, Successfully Treated by Enterolysis / 대한신장학회지
Korean Journal of Nephrology
; : 525-530, 2009.
Article
em Ko
| WPRIM
| ID: wpr-158399
Biblioteca responsável:
WPRO
ABSTRACT
Encapsulating peritoneal sclerosis (EPS) is an uncommon but fatal complication of peritoneal dialysis (PD). Recently, there were some reports of advanced EPS cases that were successfully treated by enterolysis although an intestinal perforation or leakage from intestinal anastomosis were associated with a high mortality. We experienced a case of EPS in a 53-year-old man on PD for 3.5 years without a previous history of episode of peritonitis who presented with hemoperitoneum during treatment of peritonitis. EPS was diagnosed radiologically according to typical CT findings; The series of CT scans revealed how to develop in sequence from a very subtle findings to full-blown findings of EPS. Enterolysis was performed because the patient did not respond to conservative management such as cessation of PD with transfer to hemodialysis, nutritional support and steroid therapy. In spite of intestinal perforation during surgery, he was successfully treated with enterolysis. Therefore, we report this case with review of the literature.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Peritonite
/
Esclerose
/
Diálise Renal
/
Diálise Peritoneal
/
Apoio Nutricional
/
Fibrose Peritoneal
/
Hemoperitônio
/
Perfuração Intestinal
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Nephrology
Ano de publicação:
2009
Tipo de documento:
Article