Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28315818
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Surg+Case+Rep
2017 ; 33
(ä): 135-138
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Sclerosing Encapsulated Peritonitis: A devastating and infrequent disease
complicating kidney transplantation, case report and literature review
#MMPMID28315818
Caicedo L
; Delgado A
; Caicedo LA
; Bravo JC
; Thomas LS
; Rengifo M
; Villegas JI
; Serrano O
; Echeverri GJ
Int J Surg Case Rep
2017[]; 33
(ä): 135-138
PMID28315818
show ga
INTRODUCTION: Sclerosing Encapsulating Peritonitis (SEP) is a rare condition with
an incidence of up to 3% and a mortality of up to 51% among peritoneal dialysis
(PD) patients (Brown et al., Korte et al. and Kawanishi et al.). In the last ten
years, the incidence of SEP in kidney transplant recipients has increased
(Nakamoto, de Sousa et al. and Korte et al.). PRESENTATION OF CASE: A 31-year old
male with a 15 years history of PD and later kidney retransplantation was
admitted to the emergency service after experiencing several weeks of diffuse
abdominal pain which had escalated to include vomiting and diarrhea during the
24h previous to admission. The patient underwent an exploratory laparotomy where
severe peritoneal thickening was found, in addition to signs of chronic
inflammation and blocked intestinal loops. Histopathologic findings were
suggestive of sclerosing peritonitis. After two months of treatment in hospital,
the patient presented an obstructed intestine, with a rigid and thickened
peritoneum compromising all the intestinal loops. DISCUSSION: Despite being rare,
SEP, represents a significant complication due to its high mortality and
recurrence. It is insidious in its early stages and culminates in an intestinal
obstruction (Fieren). Risk factors for its development in kidney transplant
recipients include a history of prolonged treatment with PD and the use of
calcineurin inhibitors as an immunosuppressive treatment (Korte et al.).
CONCLUSION: Given the increase in the incidence of SEP in kidney transplant
recipients, the clinician should be alert to the presence of this complication. A
greater number of multi-centre studies are required to identify the risk factors
for SEP that are inherent in renal transplant recipients.
free
free
free
