Intestinal obstruction in a patient on chronic hemodialysis
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010 |
Resumo: | Encapsulating peritoneal sclerosis (EPS) is an uncommon but serious complication of peritoneal dialysis (PD). We present a case report of EPS and a brief description of the disease. A previously stable 47-year-old male patient on hemodialysis (HD) presented to the hospital with weight loss, fever, anorexia, increased abdominal volume, anemia, increased inflammatory markers, septated hemoperitoneum, and peritoneal thickening on imaging. The patient had previously been on PD for 8 years and had 7 peritonitis episodes caused by different microorganisms. Note that the patient had a previous history of multiple vascular access failure and presented poor habitational conditions and socioeconomic status. He had been transferred from PD to HD five months earlier due to hypervolemia. A diagnosis of EPS was considered. Treatment was initiated with regular peritoneal lavage, nutritional support, oral prednisolone, and tamoxifen. The patient presented complete resolution of the symptoms and regularization of inflammatory markers. Two months later he presented to the emergency room with intestinal obstruction, and surgical enterolysis with debridement of the thick cocoon of fibrous tissue was performed. However, the patient presented several complications and died two months after admission. In conclusion, a high index of clinical suspicion of EPS in susceptible patients is necessary as the disease is infrequent and may be fatal. A greater awareness of EPS may lead to earlier or increased diagnosis rates in milder cases. This case report highlights the importance of implementing preventive measures in patients with several risk factors for EPS and considering an EPS diagnosis in a patient that is no longer on PD |
id |
RCAP_bc7242d051ed1d975a4b3b951deb6ce7 |
---|---|
oai_identifier_str |
oai:scielo:S0872-01692018000300010 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Intestinal obstruction in a patient on chronic hemodialysisEncapsulating peritoneal sclerosisperitoneal dialysisperitoneal fibrosisEncapsulating peritoneal sclerosis (EPS) is an uncommon but serious complication of peritoneal dialysis (PD). We present a case report of EPS and a brief description of the disease. A previously stable 47-year-old male patient on hemodialysis (HD) presented to the hospital with weight loss, fever, anorexia, increased abdominal volume, anemia, increased inflammatory markers, septated hemoperitoneum, and peritoneal thickening on imaging. The patient had previously been on PD for 8 years and had 7 peritonitis episodes caused by different microorganisms. Note that the patient had a previous history of multiple vascular access failure and presented poor habitational conditions and socioeconomic status. He had been transferred from PD to HD five months earlier due to hypervolemia. A diagnosis of EPS was considered. Treatment was initiated with regular peritoneal lavage, nutritional support, oral prednisolone, and tamoxifen. The patient presented complete resolution of the symptoms and regularization of inflammatory markers. Two months later he presented to the emergency room with intestinal obstruction, and surgical enterolysis with debridement of the thick cocoon of fibrous tissue was performed. However, the patient presented several complications and died two months after admission. In conclusion, a high index of clinical suspicion of EPS in susceptible patients is necessary as the disease is infrequent and may be fatal. A greater awareness of EPS may lead to earlier or increased diagnosis rates in milder cases. This case report highlights the importance of implementing preventive measures in patients with several risk factors for EPS and considering an EPS diagnosis in a patient that is no longer on PDSociedade Portuguesa de Nefrologia2018-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010Portuguese Journal of Nephrology & Hypertension v.32 n.3 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010Vieira,Miguel BigottePereira,MartaPinto de Abreu,Cristinainfo:eu-repo/semantics/openAccess2024-02-06T17:04:59Zoai:scielo:S0872-01692018000300010Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:01.093379Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Intestinal obstruction in a patient on chronic hemodialysis |
title |
Intestinal obstruction in a patient on chronic hemodialysis |
spellingShingle |
Intestinal obstruction in a patient on chronic hemodialysis Vieira,Miguel Bigotte Encapsulating peritoneal sclerosis peritoneal dialysis peritoneal fibrosis |
title_short |
Intestinal obstruction in a patient on chronic hemodialysis |
title_full |
Intestinal obstruction in a patient on chronic hemodialysis |
title_fullStr |
Intestinal obstruction in a patient on chronic hemodialysis |
title_full_unstemmed |
Intestinal obstruction in a patient on chronic hemodialysis |
title_sort |
Intestinal obstruction in a patient on chronic hemodialysis |
author |
Vieira,Miguel Bigotte |
author_facet |
Vieira,Miguel Bigotte Pereira,Marta Pinto de Abreu,Cristina |
author_role |
author |
author2 |
Pereira,Marta Pinto de Abreu,Cristina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Vieira,Miguel Bigotte Pereira,Marta Pinto de Abreu,Cristina |
dc.subject.por.fl_str_mv |
Encapsulating peritoneal sclerosis peritoneal dialysis peritoneal fibrosis |
topic |
Encapsulating peritoneal sclerosis peritoneal dialysis peritoneal fibrosis |
description |
Encapsulating peritoneal sclerosis (EPS) is an uncommon but serious complication of peritoneal dialysis (PD). We present a case report of EPS and a brief description of the disease. A previously stable 47-year-old male patient on hemodialysis (HD) presented to the hospital with weight loss, fever, anorexia, increased abdominal volume, anemia, increased inflammatory markers, septated hemoperitoneum, and peritoneal thickening on imaging. The patient had previously been on PD for 8 years and had 7 peritonitis episodes caused by different microorganisms. Note that the patient had a previous history of multiple vascular access failure and presented poor habitational conditions and socioeconomic status. He had been transferred from PD to HD five months earlier due to hypervolemia. A diagnosis of EPS was considered. Treatment was initiated with regular peritoneal lavage, nutritional support, oral prednisolone, and tamoxifen. The patient presented complete resolution of the symptoms and regularization of inflammatory markers. Two months later he presented to the emergency room with intestinal obstruction, and surgical enterolysis with debridement of the thick cocoon of fibrous tissue was performed. However, the patient presented several complications and died two months after admission. In conclusion, a high index of clinical suspicion of EPS in susceptible patients is necessary as the disease is infrequent and may be fatal. A greater awareness of EPS may lead to earlier or increased diagnosis rates in milder cases. This case report highlights the importance of implementing preventive measures in patients with several risk factors for EPS and considering an EPS diagnosis in a patient that is no longer on PD |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000300010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
dc.source.none.fl_str_mv |
Portuguese Journal of Nephrology & Hypertension v.32 n.3 2018 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137280126877696 |