Peritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report

Abstract

362ncapsulated sclerosing peritonitis, characterized by a statement in which the small bowels are completely wrapped with a fibrous membrane, is a rare small bowel obstruction statement.1-3 Obstructions can be partial or full and this statement can repeat as attacks. 4 Patients often apply to clinic with obstruction symptoms such as abdominal pain, nausea, and vomiting and their radiological findings are usually nonspecific. 5 We will present, in this report, our case who had undergone peritoneal dialysis due to chronic renal failure for 10 years and then was operated for recurrent attacks of sclerosing encapsulated peritonitis. CASE REPORTFifty-three-year-old female patient, was diagnosed with chronic kidney failure 11 years ago and began to undergo peritoneal dialysis. She had bilateral nephrectomy 5 years ago. About 2 years ago when the case applied to an another hospital with complaints of abdominal pain, nausea and vomPeritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report A AB BS S T TR RA AC CT T Encapsulated sclerosing peritonitis is a rare small bowel obstruction statement and usually has nonspecific clinical situations and radiological findings. It is mainly diagnosed intraoperatively. Although many reasons are found to be suspicious in etiology, it is mostly caused by exposure to the peritoneal dialysis. It usually responds to surgical treatment and peritonectomy which is an exhausting choise is the best treatment option. In this report, we will present a 53-year-old case having peritonectomy admitted with recurrent sclerosing encapsulated peritonitis attacks.K Ke ey y W Wo or rd ds s: : Peritonitis; peritoneal dialysis; surgical procedures, operative Ö ÖZ ZE ET T Enkapsüle sklerozan peritonit, genellikle nonspesifik klinik ve radyolojik bulgularla seyreden ve nadir ince barsak obstrüksiyonu yapan bir durumdur. Ana tanı intraoperatif olarak konur. Etyolojide birçok sebep suçlanmasına rağmen, en sık sebep peritoneal diyalize sık maruz kalmak olarak görülmüştür. Genellikle cerrahi tedavi ve peritonektomi en iyi tedavi seçeneğidir. Bu yazımızda, tekrarlayan enkapsüle sklerozan peritonit atakları olan 53 yaşındaki, peritonektomi yaptığımız bir olgumuzu sunacağız.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Peritonit; periton diyalizi; cerrahi işlemler, operasyon T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca as se e R Re ep p 2 20 01 16 6; ;2 24 4( (4 4) ): :3 36 62 2--4 4