A Case of Sclerosing Encapsulating Peritonitis improved by Surgical Treatment

Koji Hashimoto, Seiji Yano, Makoto Koike, Hiroshi Omori, Masayuki Itakura, Yoshinori Nio and Tetsuya Higami

First Department of Surgery, Shimane Medical University

We report a case of sclerosing encapsulating peritonitis (SEP) improved by surgical treatment. A 55-year-old man had begun hemodialysis in 1996 for chronic renal failure. In March 1997, the therapy was changed to maintenance continuous ambulatory peritoneal dialysis due to insufficient blood access via the shunt. Thereafter, the man suffered 9 episodes of peritonitis and was diagnosed with sclerosing peritonitis in November 2001. In July 2002, he was referred to our hospital with ileus. He was diagnosed with SEP, and surgery was conducted in August 2002. Laparotomy showed abdominal organs to be covered with a white fibrous membrane, which was removed followed by total adhesiotomy of the small intestine, freeing it. The man enjoyed a good outcome. Although surgical treatment is considered highly risky and to yield poor results, we suggest that timely surgical treatment with careful management is useful in treating SEP.

Key words
sclerosing encapsulating peritonitis, continuous ambulatory peritoneal dialysis, ileus

Reprint requests
Koji Hashimoto First Department of Surgery, Shimane Medical University 89-1 Enya-cho, Izumo, 693-8501 JAPAN

Accepted
January 22, 2003

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