%0 Journal Article
%T Peritonite esclerosante encapsulante p車s-di芍lise peritoneal Sclerosing encapsulating peritonitis after peritoneal dialysis
%A Alexandre Tagliari Cestari
%A Marina Lourenˋo de Conti
%A Joˋo Antonio Gonˋalves Garreta Prats
%A Henri Sato Junior
%J Jornal Brasileiro de Nefrologia
%D 2013
%I Sociedade Brasileira de Nefrologia
%X Pacientes com insufici那ncia renal cr nica terminal em uso de di芍lise peritoneal (DP) est o sujeitos a diversas complica  es da pr車pria terapia de substitui  o renal. Relatamos uma complica  o rara da DP na qual o perit neo, ap車s anos de contato com a substancia hipert nica dialisante, 谷 gradualmente substitu赤do por tecido fibroso. O paciente em quest o teve diversas intercorr那ncias ap車s o in赤cio da DP, incluindo uma peritonite bacteriana, hiperparatireoidismo terci芍rio (sendo tratado com duas paratireoidectomias) e colelit赤ase (sendo tratado com colecistectomia videolaparosc車pica). Ap車s 8 anos de di芍lise peritoneal, foi transferido para hemodi芍lise por diminui  o da ultrafiltra  o e epis車dios de suboclus o intestinal, sendo diagnosticado como peritonite esclerosante encapsulante (PEE). Atualmente, est芍 em corticoterapia e com diminui  o significativa dos sintomas e prov芍vel estabiliza  o da PEE. Patients with chronic renal failure in use of peritoneal dialysis (PD) are subject to various complications of the renal replacement therapy. We report a rare complication of PD in which the peritoneum, after years of contact with hypertonic dialysate, is gradually replaced by fibrous tissue. This patient had several complications after initiation of PD including a bacterial peritonitis, tertiary hyperparathyroidism (being treated with parathyroidectomy 2) and cholelithiasis (being treated with laparoscopic cholecystectomy). After 8 years of peritoneal dialysis was transferred to hemodialysis by decreasing ultrafiltration and episodes of intestinal sub-occlusion, being diagnosed as sclerosing encapsulating peritonitis (SEP). He is currently on corticotherapy with a significant reduction of symptoms and likely stabilization of the SEP.
%K di芍lise peritoneal
%K di芍lise peritoneal ambulatorial cont赤nua
%K fibrose peritoneal
%K relatos de casos
%K case reports
%K peritoneal dialysis
%K peritoneal dialysis
%K continuous ambulatory
%K peritoneal fibrosis
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002013000100010