A Successful Treatment of Encapsulating Peritoneal Sclerosis in an Adolescent Boy on Long-term Peritoneal Dialysis: A Case Report
| Autor: | Zlatan Zvizdic, Angela Summers, Zia Moinuddin, David Van Dellen, Irmina Pasic-Sefic, Faruk Skenderi, Semir Vranic, Titus Augustine |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Prague Medical Report, Vol 121, Iss 4, Pp 254-261 (2020) |
| Druh dokumentu: | article |
| ISSN: | 1214-6994 2336-2936 23362936 |
| 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: | Directory of Open Access Journals |
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