Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature

Kayataş, Mansur; CANDAN, Ferhan; Yılmaz, Abdulkerim; ÖZTOPRAK, İbrahim; YILDIZ, Gürsel

Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature

Gürsel YILDIZ, (Sağlık Bakalığı, Atatürk Devlet Hastanesi, Zonguldak, Türkiye)

Abdülkerim YILMAZ, (Cumhuriyet Üniversitesi Tıp Fakültesi, Sivas, Türkiye)

İbrahim ÖZTOPRAK, (Cumhuriyet Üniversitesi Tıp Fakültesi, Sivas, Türkiye)

Ferhan CANDAN, (Cumhuriyet Üniversitesi Tıp Fakültesi, Sivas, Türkiye)

Mansur KAYATAŞ (Cumhuriyet Üniversitesi Tıp Fakültesi, Sivas, Türkiye)

Cumhuriyet Tıp Dergisi (ELEKTRONİK)

2 1

Yıl: 2013 Cilt: 35 Sayı: 1 Sayfa Aralığı: 113 - 119 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature

Öz:

Sklerozan enkapsüle peritonit, sürekli ayaktan periton diyalizinin nadir bir komplikasyonudur.Sklerozan enkapsüle peritonit kilo kaybı, aralıklı barsak tıkanması ve peritoneal su ve solidaşınmasında azalmaya neden olur. Mortalite oranı ağır malnütrisyon ve ileus nedeniyle %50yekadar ulaşabilir. Etyolojisi tam olarak bilinmemekle birlikte, sık peritonit atakları, diyalizat vekateterin biyo-uyumsuzluğu, klorheksidinle intra-peritoneal kontaminasyon ve beta blokörkullanımı gibi birçok neden sorumlu tutulur. Erken dönemde tanısı zordur. Bu dönemdebilgisayarlı batın tomografisi bulguları önemlidir. Barsak tıkanması gibi komplikasyon gelişenhastalarda sıklıkla operasyon sırasında teşhis edilir. Periton diyalizini sonlandırmak, beslenmedesteği sağlamak, immünsupresif ilaçların kullanımı ve cerrahi yaklaşım tedavi için uygulanabilir.Bu makalede dokuz yıldır renal replasman tedavisi olarak sürekli ayaktan periton diyalizikullanmakta olan, peritonit atakları, şiddetli karın ağrısı ve kilo kaybı semptomları ile başvuran vesklerozan enkapsüle peritonit tanısı alan 46 yaşında erkek olgu sunulmaktadır.

Anahtar Kelime:

Konular: Cerrahi

Sklerozan enkapsüle p eritonit; sürekli ayaktan periton diyalizi yapan hastalardaki sessiz tehlike: olgu sunumu ve literatürün gözden geçirilmesi

Öz:

Sclerosing encapsulating peritonitis is a rare complication of continuous ambulatory peritonealdialysis. Sclerosing encapsulating peritonitis causes weight loss, intermittent bowel obstructionand decrease in peritoneal water and solute transport. Mortality may reach up to 50% due to severemalnutrition and ileus. Although the etiology is not fully known, many reasons such as frequentperitonitis attacks, bio-incompatibility of dialysate and catheter, intra-peritoneal contaminationwith clorhexidine, and use of beta-blockers are held responsible. Diagnosis is difficult in earlystage. In this stage, abdominal computed tomography findings are important. It is often diagnosedduring operation of the patients who developed complications such as bowel obstruction.Termination of peritoneal dialysis and providing nutritional support, use of immunosuppressivedrugs, and surgical approach can be used for treatment. In this article, a 46-year-old male who hadbeen using continuous ambulatory peritoneal dialysis as a renal replacement therapy for 9 years,presenting with peritonitis attacks, severe abdominal pain together with weight loss and wasdiagnosed as sclerosing encapsulating peritonitis is presented.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	YILDIZ G, Yılmaz A, ÖZTOPRAK İ, CANDAN F, Kayataş M (2013). Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. , 113 - 119.
Chicago	YILDIZ Gürsel,Yılmaz Abdulkerim,ÖZTOPRAK İbrahim,CANDAN Ferhan,Kayataş Mansur Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. (2013): 113 - 119.
MLA	YILDIZ Gürsel,Yılmaz Abdulkerim,ÖZTOPRAK İbrahim,CANDAN Ferhan,Kayataş Mansur Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. , 2013, ss.113 - 119.
AMA	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. . 2013; 113 - 119.
Vancouver	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. . 2013; 113 - 119.
IEEE	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M "Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature." , ss.113 - 119, 2013.
ISNAD	YILDIZ, Gürsel vd. "Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature". (2013), 113-119.

APA	YILDIZ G, Yılmaz A, ÖZTOPRAK İ, CANDAN F, Kayataş M (2013). Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. Cumhuriyet Tıp Dergisi (ELEKTRONİK), 35(1), 113 - 119.
Chicago	YILDIZ Gürsel,Yılmaz Abdulkerim,ÖZTOPRAK İbrahim,CANDAN Ferhan,Kayataş Mansur Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. Cumhuriyet Tıp Dergisi (ELEKTRONİK) 35, no.1 (2013): 113 - 119.
MLA	YILDIZ Gürsel,Yılmaz Abdulkerim,ÖZTOPRAK İbrahim,CANDAN Ferhan,Kayataş Mansur Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. Cumhuriyet Tıp Dergisi (ELEKTRONİK), vol.35, no.1, 2013, ss.113 - 119.
AMA	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2013; 35(1): 113 - 119.
Vancouver	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2013; 35(1): 113 - 119.
IEEE	YILDIZ G,Yılmaz A,ÖZTOPRAK İ,CANDAN F,Kayataş M "Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature." Cumhuriyet Tıp Dergisi (ELEKTRONİK), 35, ss.113 - 119, 2013.
ISNAD	YILDIZ, Gürsel vd. "Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature". Cumhuriyet Tıp Dergisi (ELEKTRONİK) 35/1 (2013), 113-119.