Encapsulated Sclerosing Peritonitis Successfully Treated with Corticosteroid Therapy and Total Parental Nutrition

[摘要] Background: The number of patients with end stage renal disease (ESRD) who need renal replacement therapy to survive is increasing worldwide. Continuous ambulatory peritoneal dialysis (CAPD) is the preferred treatment to treat ESRD in an increasing number of patients. However, the long-term effectiveness of CAPD is limited by complications such as peritonitis. Encapsulating sclerosing peritonitis (ESP), a rare cause of bowel obstruction with high morbidity and mortality, was described as a complication associated with peritoneal dialysis. Case Report: Here we report a case where early abdominal CT in association with clinical symptoms allowed non-invasive diagnosis of ESP, and immediate steroid treatment successfully relieved the symptoms with excellent outcome. Conclusion: Early diagnosis and institution of corticosteroid therapy is effective treatment of encapsulating sclerosing peritonitis secondary to peritoneal dialysis.

[学科分类] 生理学

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