A case of encapsulating peritoneal sclerosis presenting with a fulminant clinical course associated with small intestinal perforation.
- Author:
Il Young KIM
1
;
Kyung Yup KIM
;
Sang Heon SONG
;
Dong Won LEE
;
Soo Bong LEE
;
Ihm Soo KWAK
;
Suk KIM
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. sbleemd@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Encapsulating peritoneal sclerosis (EPS);
Intestinal perforation;
Continuous ambulatory peritoneal dialysis (CAPD)
- MeSH:
Abdominal Pain;
Catheters;
Humans;
Intestinal Perforation*;
Male;
Middle Aged;
Nausea;
Parenteral Nutrition, Total;
Peritoneal Dialysis, Continuous Ambulatory;
Peritoneal Fibrosis*;
Peritoneum;
Peritonitis;
Shock, Septic;
Tamoxifen;
Tomography, X-Ray Computed;
Ultrafiltration;
Vomiting
- From:Korean Journal of Medicine
2007;72(1):105-110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Encapsulating peritoneal sclerosis (EPS) is a fatal complication of long-term continuous ambulatory peritoneal dialysis. A 55-year old male presented with abdominal pain and a turbid dialysate. He had been maintained on CAPD for 52 months without signs of ultrafiltration failure and had two previous episodes of peritonitis. We removed the peritoneal catheter because of refractoriness to intraperitoneal antibiotic therapy. Immediately after the removal of the peritoneal catheter, he presented with a palpable abdominal mass. An abdominal CT showed loculated fluid collection, enhancement/thickening of peritoneum and tethering of the small bowel. We started total parenteral nutrition, and corticosteroid and tamoxifen therapy. He complained of persistent abdominal pain, nausea and vomiting, despite the therapy. Unexpectedly, om the 10th day after the therapy he died of septic shock as a result of a small intestinal perforation. We report a case of EPS presenting with a fulminant clinical course associated with small intestinal perforation.
