頁籤選單縮合
題名 | Small Bowel Perforation: A Late and Fatal Complication of Encapsulating Peritoneal Sclerosis= |
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作者 | Kuo, Wei-hung; Wu, Chien-hsing; Chen, Te-chuan; Yang, Yu-kun; Hsu, Kuo-tai; Lee, Chien-te; |
期刊 | 臺灣腎臟醫學會雜誌 |
出版日期 | 20120300 |
卷期 | 26:1 2012.03[民101.03] |
頁次 | 頁41-43 |
分類號 | 415.816 |
語文 | eng |
關鍵詞 | Encapsulating peritoneal sclerosis; Bowel perforation; Peritoneal dialysis; |
英文摘要 | Encapsulating peritoneal sclerosis (EPS) is a rare and serious complication in patients undergoing peritoneal dialysis (PD). The incidence of EPS increases with duration of PD. The rate of EPS-associated mortality rate is usually high. We encountered a 51-year-old uremic female patient who received PD therapy initially but was shifted to hemodialysis 9 years later due to dialysis inadequacy and ultrafiltration failure. There were three episodes of PD-related peritonitis during her PD therapy. EPS was diagnosed according to image and operation findings during a peritonitis episode. Enterolysis was performed and short-term steroid therapy was also administered. However, she experienced another episode of rapid progressive abdominal pain with compromised hemodynamic status. Abdominal computed tomography demonstrated perforation of small bowel with pneumoperitoneum. Despite emergency laparotomy and antibacterial therapy, the patient died 2 days later. We conclude that EPS can still progress in uremic patients despite suspension of PD. Our patients died of small bowel perforation with overwhelming sepsis. |
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