A Case of Encapsulating Peritoneal Sclerosis, Presenting as Hemoperitoneum, Successfully Treated by Enterolysis.
- Author:
Young Baek KIM
1
;
Moon Won YOO
;
Hae Jeong JEON
;
So Dug LIM
;
Yong Hoon CHOI
;
Bum Sung KIM
;
Jung Hee PARK
;
Jong Ho LEE
;
Jung Hwan PARK
;
Young Il JO
Author Information
1. Division of Nephrology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. nephjo@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Continuous ambulatory peritoneal dialysis (CAPD);
Peritonitis;
Sclerosis
- MeSH:
Hemoperitoneum;
Humans;
Intestinal Perforation;
Middle Aged;
Nutritional Support;
Peritoneal Dialysis;
Peritoneal Fibrosis;
Peritonitis;
Renal Dialysis;
Sclerosis
- From:Korean Journal of Nephrology
2009;28(5):525-530
- CountryRepublic of Korea
- Language:Korean
-
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.
