Korean J Med.  2015 Sep;89(3):346-352. 10.3904/kjm.2015.89.3.346.

Two Cases of Bacterial Peritonitis in Encapsulating Peritoneal Sclerosis

• Kim HJ
• Kim JE
• Kang KW
• Yu ES
• Hong YA
• Park JW
• Kwon YJ

• KMID: 2269010
• DOI: http://doi.org/10.3904/kjm.2015.89.3.346

Abstract

Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis associated with a high mortality rate. Bacterial peritonitis (BP), a complication of EPS treatment, is uncommon, and treatments for BP are not well known. We report two patients who had undergone steroid treatment who developed BP after hemodialysis transfer. In the first case, we treated the BP with antibiotics and performed several surgical drainage procedures; however, the fluid became too thick to drain. This patient died of malnutrition and sepsis. In the second case, antibiotics and surgical enterolysis with peritonectomy were used to treat the BP. Solid food was accepted on day 7 postoperatively, and the patient was stable after 20 months. Thus, surgical enterolysis with peritonectomy may be a good treatment modality for patients with EPS and BP.

Keyword

Peritoneal fibrosis; Peritoneal dialysis

MeSH Terms

Anti-Bacterial Agents
Drainage
Humans
Malnutrition
Mortality
Peritoneal Dialysis
Peritoneal Fibrosis*
Peritonitis*
Renal Dialysis
Sepsis
Anti-Bacterial Agents