La sclérose péritonéale encapsulante : aspects actuels
| Autor: | Céline Ied, Gérard Deschodt, Guilhem Godlevski, Mounia Tagnaouti, Bachir Zabadani, P. Reboul, B. Branger, Jean Carolfi, Michel Prudhomme, F. Vecina |
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| Rok vydání: | 2009 |
| Předmět: |
Nephrology
medicine.medical_specialty business.industry musculoskeletal neural and ocular physiology medicine.medical_treatment Peritonitis Context (language use) medicine.disease Feline infectious peritonitis Surgery Peritoneal dialysis body regions Internal medicine medicine Acute pancreatitis Hemodialysis business Complication |
| Zdroj: | Néphrologie & Thérapeutique. 5:122-133 |
| ISSN: | 1769-7255 |
| Popis: | We report three original cases of sclerosing encapsulating peritonitis (SEP) which is a rare but severe complication of peritoneal dialysis (PD). In the report of case 1, SEP occurred in a 75-year-old diabetic patient mellitus 18 years after the arrest of PD technique recurrent infectious peritonitis. The switch to hemodialysis was associated with a chronic inflammatory state poorly explained until the discovery of SEP. For case 2, SEP started within seven months after automated PD initiation in a severe septic context leading to leg amputation in a 57-year-old unstable diabetic male. In the last case, 84-year-old woman presented SEP after several peritonitis episodes, including one due to acute pancreatitis. In all cases, SEP was confirmed by open surgery. All patients were treated by visceralysis. The outcome was favorable in two of these three patients. SEP mechanisms, risks factors, prognosis and treatment are discussed with reference to the literature. |
| Databáze: | OpenAIRE |
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