Sclerosing encapsulating peritonitis in a child secondary to peritoneal dialysis
Section snippets
Case report
A 14-year-old Chinese adolescent boy with a history of end-stage renal failure on CAPD presented with right-sided abdominal distension, abdominal pain, vomiting, and absolute constipation of 2 days' duration. He had been diagnosed with end-stage renal failure secondary to acute tubular necrosis as a result of a bout of severe gastroenteritis in infancy. Peritoneal dialysis using hypertonic dextrose was commenced 10 years ago and used almost continuously, interrupted by 6 episodes of bacterial
Discussion
The etiology of SEP is poorly understood but is believed to be multifactorial. Although seen most frequently as a complication of CAPD, this condition is not specific to CAPD. Other causes implicated include drug therapy (particularly β-blockers), sarcoidosis, systemic lupus erythematosus, abdominal tuberculosis, gastrointestinal malignancy, protein S deficiency, and luteinized ovarian thecomas [4], [5], [6], [7]. Regardless of the predisposing causes, the most plausible pathophysiological
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CT in predicting abdominal cocoon in patients on peritoneal dialysis
2010, Clinical RadiologyCitation Excerpt :The cause of EPS in PD patients has not been elucidated yet multiple factors have been advocated to contribute.3,18 The most plausible pathophysiological event in the development of EPS is an inflammatory process resulting in the loss of the mesothelium layer of the peritoneum and fibroconnective tissue proliferation.4,19 The encapsulating process is responsible for disturbances in gastrointestinal motility.7
Sclerosing Encapsulating Peritonitis in a Pediatric Patient Treated with Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
2021, Journal of Pediatric Hematology/OncologyEncapsulated peritoneal sclerosis: A single center, retrospective analysis of clinical manifestations, risk factors and prognosis
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2017, Imaging Acute Abdomen in Children