Sclerosing encapsulating peritonitis in a liver transplant patient: a case report.
We report a patient with HBV-related hepatocellular carcinoma (HCC) and refractory ascites who had received a peritoneal-venous shunt (PVS) 1 year before liver transplantation. Urgent surgical intervention following bowel obstruction and failure of immunosuppression therapy. No intestinal obstruction was found during an initial PVS. However, intestinal obstruction developed 2 wk after liver transplantation; and a cocoon abdomen was found upon exploration. This is the first reported case of cocoon abdomen caused by PVS and exacerbated by liver transplantation.
Lin
Chien-Hua
CH
Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China.
Yu
Jyh-Cherng
JC
Chen
Teng-Wei
TW
Chan
De-Chuan
DC
Chen
Cheng-Jueng
CJ
Hsieh
Chung-Bao
CB
D001201:Ascites / Q000209:etiology / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology* / Q000473:pathology*; D011183:Postoperative Complications; D012598:Sclerosis