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KMID : 0882420130850060629
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Korean Journal of Medicine
2013 Volume.85 No. 6 p.629 ~ p.633
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Encapsulating Peritoneal Sclerosis Occurring in a Hemodialysis Patient
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Song Yun-A
Kim Eun-Jung
Kwon Jun-Sung
Kim Su-Hee
Choi Gun-Moo
Eom Dae-Woon
Song Kyung-Il
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Abstract
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Encapsulating peritoneal fibrosis (EPF) is a serious, uncommon complication of chronic peritoneal dialysis. However, it is rare in hemodialysis patients. EPF is characterized by peritoneal membrane inflammation followed by peritoneal membrane fibrosis and encapsulation. The etiology is unclear, but inflammation of the deteriorated peritoneum causes peritoneal fibrosis. We present a case of EPF that occurred in a 29-year-old man with hepatitis B-associated liver cirrhosis with ascites that was treated solely with hemodialysis. We managed this patient surgically and then medically with prednisolone. To our knowledge, this is the first such case in Korea, so we report this case with a literature review.
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KEYWORD
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Encapsulating peritoneal fibrosis, Hemodialysis, Liver cirrhosis
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