A Case of Tuberculous Encapsulating Peritonitis Presenting as Huge Intraabdominal Cystic Mass.
- Author:
Yoon Seok HUR
1
;
Eung Ho CHO
;
Seok Hwan SHIN
;
Kee Chun HONG
;
Seung Ik AHN
;
Sei Jung KIM
;
Jeong Min SEO
;
Keon Young LEE
;
Ze Hong WOO
Author Information
1. Department of Surgery, Inha University College of Medicine, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Encapsulating peritonitis;
Intraperitoneal tuberculosis
- MeSH:
Colitis;
Diagnosis;
Humans;
Intestinal Obstruction;
Laparotomy;
Membranes;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis*;
Peritonitis, Tuberculous;
Prevalence;
Rare Diseases;
Tuberculosis;
Viscera;
Wound Healing
- From:Journal of the Korean Surgical Society
2000;58(3):442-446
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Encapsulating peritonitis (EP) is a rare disease characterized by the formation of a membrane which encases all or part of the abdominal viscera. This disease occurs in patients receiving continuous ambulatory peritoneal dialysis (CAPD). Other etiologies are trauma, colitis, chemical irritation, and infrequently, intraperitoneal tuberculosis. The overall prevalence is 0.7-3.7% of the patients receiving CAPD. EP may be accompanied by intestinal obstruction, strangulation, poor wound healing, and nutritional problems. The diagnosis is usually made by using an exporatory laparotomy, and the treatment of choice is excision of the membrane with complete decortication. Here, we present a case of encapsulating peritonitis associated with tuberculous peritonitis. In this patient, a huge pseudocyst, 40 cm in its largest diameter and 7 kg in weight, was found intraperitoneally. The pseudocyst was removed surgically and proved to be formed due to tuberculous peritonitis by using Tbc-PCR.
