Korean J Nephrol.  2004 Nov;23(6):1035-1039.

A Case of Small Bowel Perforation Associated with Sclerosing Encapsulating Peritonitis in Patient with Intermittent Peritoneal Dialysis (IPD)

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Konyang University, Daejon, Korea. sryun@kyuh.co.kr
  • 2Department of General Surgery, College of Medicine, Konyang University, Daejon, Korea.
  • 3Department of Pathology and Radiology, College of Medicine, Konyang University, Daejon, Korea.

Abstract

Sclerosing ecapsulating peritonitis (SEP) first described by Gandhi and Humyn at 1980 is generally recognized, but uncommon complication of continous ambulatory peritoneal dialysis (CAPD) and the prognosis is very poor. A 62-year old female was admitted to our hospital with chief complaint of abdominal pain, nausea, vomiting. On physical examination, abdominal pain was not detected. Abdominal CT demonstrated paralytic ileus and adhesion in proximal ileum. She underwent adhesilolysis of ileum and repair of perforated ileum. We experienced one case of SEP presenting small bowel perforation and peritonitis in patient with IPD. We report this case with review of the literature.

Keyword

Sclerosing encapsulating peritonitis (SEP); Intermittent peritoneal dialysis (IPD); Small bowel perforation

MeSH Terms

Abdominal Pain
Female
Humans
Ileum
Intestinal Pseudo-Obstruction
Middle Aged
Nausea
Peritoneal Dialysis*
Peritonitis*
Physical Examination
Prognosis
Tomography, X-Ray Computed
Vomiting
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