مورد إلكتروني
Encapsulating Peritoneal Sclerosis – Successful Medical/Surgical Treatment and Kidney Transplantation: a Case Report
| العنوان: | Encapsulating Peritoneal Sclerosis – Successful Medical/Surgical Treatment and Kidney Transplantation: a Case Report |
|---|---|
| عناروين إضافية: | Inkapsulirajuća peritonealna skleroza - uspješno medicinsko/kirurško liječenje i transplantancija bubrega: prikaz slučaja |
| المصدر: | Acta clinica Croatica; ISSN 0353-9466 (Print); ISSN 1333-9451 (Online); Volume 60.; Issue Supplement 1 |
| بيانات النشر: | Sestre Milosrdnice University hospital and Institute of Clinical Medical Research 2021 |
| تفاصيل مُضافة: | Karmela Altabas Nataša Črne Fureš Ivana Kovačević Vojtušek Bojana Maksimović Velimir Altabas |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | The patient was born in 1967. In 2004 the patient started renal replacement therapy with peritoneal dialysis. In 2010, after the first episode of peritonitis caused by Staphylococcus aureus, due to poor response to antibiotic therapy, the peritoneal catheter was removed. A month after this episode, pain accompanied by fever and an increase in inflammatory parameters occurred. Initial computed tomography scans did not show any specific abnormalities and the second CT two months later diagnosed sclerosing peritonitis. Corticosteroid and tamoxifen therapy with enteral nutrition was initiated. Five months after the symptoms started, the patient developed intestinal obstruction, so a nasogastric tube was placed and total parenteral nutrition was introduced. After four months, the patient was surgically treated at the Manchester Royal Infirmary, resection of the terminal ileum and caecum was performed, and an ileocecal anastomosis with enterolysis was performed. Then, in 2012, a successful kidney transplant was performed. The patient has since remained without clinical signs of obstruction. Tamoxifen and corticosteroid therapy with adequate nutritional support, surgical treatment, and transplantation with long-term immunosuppressive therapy may be reasons for long-term remission and survival ten years after EPS diagnosis. Bolesnici rođenoj 1967. godine, 2004. godine započeto je nadomještanje bubrežne funkcije peritonejskom dijalizom. 2010. godine bolesnica je imala prvu epizodu peritonitisa uzrokovanu Staphylococcus aureusom. Zbog nepostizanja adekvatnog odgovora na ciljanu antibiotsku terapiju, izvađen je peritonejski kateter i bolesnica je transferirana na hemodijalizu. Nakon kliničkog i laboratorijskog poboljšanja, mjesec dana kasnije javila se bol nakon jela uz povišenu temperaturu i porast upalnih parametera. Inicijalno učinjen CT abdomena nije bio specifičan, tek na ponovljenom CT-u dva mjeseca kasnije nađeni su znaci sklerozirajućeg peritonitisa. Započeta je terapija kortikosteroidom i tamoksifenom uz enteralnu prehranu. Pet mjeseci od pojave sklerozirajućeg peritonitisa bolesnica je razvila sliku intestinalne opstrukcije, pa je plasirana nazogastrična sonda i uvedena je totalna parenteralna prehrana. Nakon četiri mjeseca bolesnica je operativno liječna u Manchester Royal Infirmary, učinjena je resekcija terminalnog ileuma i cekuma i formirana je ileocekalna anastomoza, te enteroliza preostalih crijeva. Potom je 2012. godine učinjena uspješna transplantacija bubrega. Bolesnica od operativnog liječenja je bez kliničkih znakova opstrukcije. Terapija tamoksifenom i kortikosteroidima uz odgovarajuću prehrambenu podršku unatoč ileusu, kirurško liječenje u centru koji ima iskustva u liječenju EPS-om (enkapsulirajuća peritonealna skleroza) i transplantacija s dugotrajnom imunosupresivnom terapijom mogu biti razlozi dugotrajne remisije i preživljenja deset godina od dijagnoze EPS-a. |
| مصطلحات الفهرس: | Encapsulating peritoneal sclerosis (EPS); Peritoneal dialysis (PD); EPS surgical treatment; Kidney transplantation EPS, Enkapsulirana peritonealna skleroza (EPS); peritonealna dijaliza (PD); Kirurško liječenje; transplantacija bubrega, text, info:eu-repo/semantics/review, info:eu-repo/semantics/publishedVersion |
| URL: | info:eu-repo/semantics/altIdentifier/doi/10.20471/acc.2021.60.s1.07 |
| الإتاحة: | Open access content. Open access content info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-nd/4.0 |
| ملاحظة: | application/pdf English |
| أرقام أخرى: | HRCAK oai:hrcak.srce.hr:260295 1262707663 |
| المصدر المساهم: | HRCAK PORTAL ZNANSTVENIH CASOPISA REPUB From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1262707663 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |