A Successful Treatment of Encapsulating Peritoneal Sclerosis in an Adolescent Boy on Long-term Peritoneal Dialysis: A Case Report
| Autor: | Irmina Pasic-Sefic, Semir Vranic, Zlatan Zvizdic, Titus Augustine, David van Dellen, Faruk Skenderi, Zia Moinuddin, Angela Summers |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Bacterial Peritonitis Peritoneal dialysis 030232 urology & nephrology lcsh:Medicine encapsulating sclerosing peritonitis 030204 cardiovascular system & hematology Peritonitis 03 medical and health sciences 0302 clinical medicine Peritoneum Peritoneal Dialysis Continuous Ambulatory Fibrosis Medicine Humans Child lcsh:R5-920 business.industry Continuous ambulatory peritoneal dialysis lcsh:R Peritoneal Fibrosis General Medicine medicine.disease Surgery Management Bowel obstruction medicine.anatomical_structure Encapsulating sclerosing peritonitis Hemodialysis business Complication lcsh:Medicine (General) Peritoneal Dialysis management |
| Zdroj: | Prague Medical Report, Vol 121, Iss 4, Pp 254-261 (2020) Zvizdic, Z, Summers, A, Moinuddin, Z, Van Dellen, D, Pasic-Sefic, I, Skenderi, F, Vranic, S & Augustine, T 2020, ' A Successful Treatment of Encapsulating Peritoneal Sclerosis in an Adolescent Boy on Long-term Peritoneal Dialysis : A Case Report ', Prague medical report, vol. 121, no. 4, pp. 254-261 . https://doi.org/10.14712/23362936.2020.22 |
| ISSN: | 1214-6994 |
| DOI: | 10.14712/23362936.2020.22 |
| Popis: | Encapsulating peritoneal sclerosis (EPS) is a rare life-threatening complication associated with peritoneal dialysis (PD). EPS is characterized by progressive fibrosis and sclerosis of the peritoneum, with the formation of a membrane and tethering of loops of the small intestine resulting in intestinal obstruction. It is very rare in children. We present a case of a 16-year-old adolescent boy who developed EPS seven years after being placed on continuous ambulatory peritoneal dialysis (CAPD) complicated by several episodes of bacterial peritonitis. The diagnosis was based on clinical, radiological, intraoperative and histopathological findings. The patient was successfully treated with surgical enterolysis. During a 7-year follow-up, there have been no further episodes of small bowel obstruction documented. He still continues to be on regular hemodialysis and is awaiting a deceased donor kidney transplant. EPS is a long-term complication of peritoneal dialysis and is typically seen in adults. Rare cases may be seen in the pediatric population and require an appropriate surgical approach that is effective and lifesaving for these patients. |
| Databáze: | OpenAIRE |
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