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KMID : 0359920090280050525
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Korean Journal of Nephrology
2009 Volume.28 No. 5 p.525 ~ p.530
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A Case of Encapsulating Peritoneal Sclerosis, Presenting as Hemoperitoneum, Successfully Treated by Enterolysis
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Kim Young-Baek
Yoo Moon-Won
Jeon Hae-Jeong
Lim So-Dug
Chio Yong-Hoon
Kim Byum-Sung
Park Jung-Hee
Lee Jong-Ho
Park Jung-Hwan
Jo Young-Il
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Abstract
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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.
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KEYWORD
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Continuous ambulatory peritoneal dialysis (CAPD), Peritonitis, Sclerosis
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