| A Case of Encapsulating Peritoneal Sclerosis, Presenting as Hemoperitoneum, Successfully Treated by Enterolysis |
| Young-Baek Kim, M.D.1, Moon-Won Yoo, M.D.2, Hae-Jeong Jeon, M.D.3, So-Dug Lim, M.D.4, Yong-Hoon Choi, M.D.1, Bum-Sung Kim, M.D.1, Jung-Hee Park, M.D.1, Jong-Ho Lee, M.D.1, Jung-Hwan Park, M.D.1 and Young-Il Jo, M.D.1 |
Division of Nephrology, Department of Internal Medicine1
Surgery2
Radiology3 and Pathology4 Konkuk University School of Medicine, Seoul, Korea |
| 증례 : 혈복증으로 발현되어 장유착박리술로 치료된 피막성 복막 경화증 1예 |
| 김영백1, 유문원2, 전혜정3, 임소덕4, 최용훈1, 김범성1, 박중희1, 이종호1, 박정환1, 조영일1 |
| 건국대학교 의학전문대학원 내과학교실1, 외과학교실2, 영상의학교실3, 병리학교실4 |
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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. |
| Key Words:
Continuous ambulatory peritoneal dialysis (CAPD), Peritonitis, Sclerosis. |
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