Two Cases of Resection of Localized Sclerosing Encapsulating Peritonitis.
- Author:
Kyung Kook KIM
1
;
Sei Woong KIM
;
Chong Dae PAIK
;
Won Gon KIM
;
Kee Chun HONG
;
Kyung Rae KIM
;
Ze Hong WOO
;
Seoung Woo LEE
;
Mi Young KIM
;
Joon Mee KIM
;
Young Chae CHU
Author Information
1. Department of General Surgery, In-Ha Hospital, College of Medicine, In-Ha University.
- Publication Type:Original Article
- Keywords:
Sclerosing encapsulating peritonitis, Idiopathic;
Continuous ambulatory peritoneal dialysis
- MeSH:
Abdominal Pain;
Anti-Infective Agents, Local;
Chlorhexidine;
Humans;
Malnutrition;
Nausea;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis*;
Prognosis;
Vomiting;
Weight Loss
- From:Journal of the Korean Surgical Society
2000;58(5):722-728
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon, is generally recognized as a rare complication of continuous ambulatory peritoneal dialysis (CAPD), and the prognosis is very poor. The causes of SEP are multifactorial, including acetate in dialysate, recurrent peritonitis and dialysate con tamination with antiseptics containing chlorhexidine. Patients experience the characteristic symptoms and signs of nausea, vomiting, abdominal pain, and partial or intermittent bowel obstruction, and weight loss and malnutrition develop in severe case. We performed bowel resection on two patients with SEP, one idiopathic, and the other from CAPD. We briefly review the literature, and discuss the pathophysiology and the management of SEP.
