Continuous inflammation and ascites 10 months after the initiation of peritoneal dialysis.
A 38-year-old man underwent peritoneal dialysis (PD) in May 2011 due to chronic renal failure with chronic glomerulonephritis. In early February 2012, he underwent laparoscopy to salvage and correct a malpositioned PD catheter. The laparoscopic intra-abdominal findings revealed turbid ascites and multiple fibrin lumps, despite the patient's lack of history of peritonitis. Based on these findings, in addition to the presence of continuous inflammation and ascites, a diagnosis of pre-encapsulating peritoneal sclerosis was suspected, and the treatment was switched from PD to hemodialysis. The administration of prednisolone at a dose of 20 mg/day and peritoneal lavage resulted in a decrease in the ascites and fibrin lumps.
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
Akihiro
A
Maekawa
Tadashi
T
Uramatsu
Kana
K
Minami
Yoko
Y
Obata
Hideyuki
H
Arai
Takashi
T
Taguchi
Yasushi
Y
Mochizuki
Masaharu
M
Nishikido
Yoshiyuki
Y
Ozono
Tomoya
T
Nishino
Shigeru
S
Kohno
D000328:Adult; D001201:Ascites / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors