report of a documented case of encapsulating peritoneal sclerosis in iran
نویسندگان
چکیده
encapsulating peritoneal sclerosis (eps) is a rare, acquired condition that has been described interchangeablywith peritoneal encapsulation (pe) as well as abdominal cocoon. eps causes complications for peritoneal dialysis (pd) patients. in eps, the small intestine is covered by a fibrotic and inflammatory peritoneal capsule that either partially or completely encases the bowel. for eps, there is no agreement in the literature as to whether the treatment of choice should be surgery or conservative therapy. however in the obstructive phase the treatment of choice is surgery due to the impossibility of conservative treatment. here, we report the case of a 64-year-old woman who presented with several episodes of intestinal obstruction and peritonitis. computed tomography (ct) of the abdomen did not show significant characteristic features of eps. exploratory laparotomy was performed, freeing the small bowel of adhesions and encapsulation. for eps, adequate clinical knowledge and a high degree of suspicion are crucial for a correct diagnosis and appropriate management.
منابع مشابه
An unusual case of encapsulating peritoneal sclerosis.
cified peritoneum. Diagnosis of EPS was made. Steroids (0.5 mg/kg/day) and Tamoxifen 20 mg twice per day were started. The patient is now on a normal diet and CRP has returned to normal. A definitive diagnosis of EPS is done at laparotomy or laparoscopy but may be strongly supported by a combination of clinical and radiologic features [1] . Computed tomography has largely been used to delineate...
متن کاملmesuring the staff technology readiness, the case of a multi national chemical company operating in iran
چکیده ندارد.
15 صفحه اولEncapsulating Peritoneal Sclerosis: Case report and Current Status
Encapsulating peritoneal sclerosis (EPS), is a rare but devastating complication of long-term peritoneal dialysis (PD) with a high mortality rate. The incidence is between 0.5 and 3.3%, decreasing with time. EPS is defi ned as a clinical syndrome with major signs of gastrointestinal obstruction, infl ammatory parameters, radiological and macroscopic changes. Duration of treatment and cessation ...
متن کاملcase report of a patient undergoing peritoneal dialysis with encapsulating peritoneal sclerosis superimposed with calciphylaxis
conclusions we suggest avoiding the use of tamoxifen for eps in patients with superimposed calciphylaxis. introduction encapsulating peritoneal sclerosis (eps) is a rare but devastating complication of peritoneal dialysis (pd). tamoxifen has been generally well-tolerated, even without randomized controlled trials. case presentation herein, we report a case of a patient undergoing 12 years of pd...
متن کاملCase Report of a Patient Undergoing Peritoneal Dialysis with Encapsulating Peritoneal Sclerosis Superimposed With Calciphylaxis
INTRODUCTION Encapsulating peritoneal sclerosis (EPS) is a rare but devastating complication of peritoneal dialysis (PD). Tamoxifen has been generally well-tolerated, even without randomized controlled trials. CASE PRESENTATION Herein, we report a case of a patient undergoing 12 years of PD who developed EPS and calciphylaxis simultaneously. We also provide a comprehensive discussion about th...
متن کاملEncapsulating peritoneal sclerosis following a peritoneal foreign body reaction to Dacron fibres—a case report
The aetiological factors and the pathophysiological mechanisms of encapsulating peritoneal sclerosis (EPS) have not been fully elucidated. We present a patient on continuous ambulatory peritoneal dialysis whose peritoneal catheter was exchanged due to repeated episodes of bacterial peritonitis. Immediately afterwards, he experienced severe abdominal pain, nausea and fever. Peritoneal biopsy, ta...
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عنوان ژورنال:
گوارشجلد ۱۶، شماره ۴، صفحات ۲۷۷-۰
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