Sclerosing encapsulating peritonitis in a child secondary to peritoneal dialysis.
J Pediatr Surg
; 40(5): e21-3, 2005 May.
Article
en En
| MEDLINE
| ID: mdl-15937801
ABSTRACT
Sclerosing encapsulating peritonitis, or "abdominal cocoon," is a rare but serious complication of continuous ambulatory peritoneal dialysis. It is characterized by the diffuse appearance of marked sclerotic thickening of the peritoneal membrane resulting in intestinal obstruction. A 14-year-old adolescent boy with a history of end-stage renal failure on continuous ambulatory peritoneal dialysis presented with symptoms of acute intestinal obstruction. A computed tomography scan of the abdomen revealed distended small bowel loops clustered and displaced to the right upper quadrant. The overlying peritoneum was markedly thickened and calcified. Laparotomy confirmed the diagnosis of sclerosing encapsulating peritonitis and the patient was treated with excision of the fibrocollagenous membrane. Postoperatively, he had prolonged ileus requiring parenteral nutritional support and peritoneal dialysis was restarted on postoperative day 10. A high degree of cognizance is needed to facilitate diagnosis and treatment of this uncommon and potentially life-threatening condition.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Peritonitis
/
Diálisis Peritoneal Ambulatoria Continua
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Surg
Año:
2005
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA