J Korean Surg Soc.
2000 Mar;58(3):442-446.
A Case of Tuberculous Encapsulating Peritonitis Presenting as Huge Intraabdominal Cystic Mass
- Affiliations
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- 1Department of Surgery, Inha University College of Medicine, Incheon, Korea.
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.
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