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The Korean Journal of Medicine 2007;72(1): 105-110.
증례: 전격적인 임상경과를 보이며 소장천공으로 사망한 피막성 복막 경화증 1예
김일영, Kyung Yup Kim, Sang Heon Song, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak, Suk Kim
A case of encapsulating peritoneal sclerosis presenting with a fulminant clinical course associated with small intestinal perforation
Il Young Kim, Kyung Yup Kim, Sang Heon Song, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak, Suk Kim
고려대학교 의과대학 내과학교실
ABSTRACT
Encapsulating peritoneal sclerosis (EPS) is a fatal complication of long-term continuous ambulatory peritoneal dialysis. A 55-year old male presented with abdominal pain and a turbid dialysate. He had been maintained on CAPD for 52 months without signs of trafiltration failure and had two previous episodes of peritonitis. We removed the peritoneal catheter because of refractoriness to intraperitoneal antibiotic therapy. Immediately after the removal of the peritoneal catheter, he presented with a palpable abdominal mass. An abdominal CT showed loculated fluid collection, enhancement/thickening of peritoneum and tethering of the small bowel. We started total parenteral nutrition, and corticosteroid and tamoxifen therapy. He complained of persistent abdominal pain, nausea and vomiting, despite the therapy. Unexpectedly, om the 10th day after the therapy he died of septic shock as a result of a small intestinal perforation. We report a case of EPS presenting with a fulminant clinical course associated with small intestinal perforation.(Korean J Med 72:105-110, 2007) Key Words : Encapsulating peritoneal sclerosis (EPS), Intestinal perforation, Continuous ambulatory peritoneal dialysis (CAPD)
Keywords: Encapsulating peritoneal sclerosis (EPS), Intestinal perforation, Continuous ambulatory peritoneal dialysis
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