病例报告：腹膜透析患者出现孤立性移行点的急性肠梗阻；是包裹性腹膜硬化的表现吗？
Case report: acute bowel obstruction with an isolated transition point in peritoneal dialysis patients; a presentation of encapsulating peritoneal sclerosis?
作者信息
Ghazan-Shahi Sassan, Bargman Joanne M
机构信息
The Home Peritoneal Dialysis Unit, University Health Network, University of Toronto, Toronto, Canada.
Division of Nephrology, Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
出版信息
BMC Nephrol. 2016 Jan 5;17:1. doi: 10.1186/s12882-015-0214-2.
BACKGROUND
Encapsulating peritoneal sclerosis (EPS) is classically described as progressive sclerosis and cocooning of the entire peritoneum; however, there has been limited number of reported cases of localized fibrosis as a variant form.
CASE PRESENTATION
We describe two cases of acute bowel obstruction with isolated transition points in the setting of long-term peritoneal dialysis.
CONCLUSION
We postulate that some of the cases of small bowel obstruction with an obvious transition point in long-term peritoneal dialysis patients may represent a unique and localized form of EPS. We aim to emphasize the presence of macroscopic variations in presentation of EPS.
背景
包裹性腹膜硬化（EPS）传统上被描述为整个腹膜的进行性硬化和包囊形成；然而，作为一种变异形式的局限性纤维化的报道病例数量有限。
病例报告
我们描述了两例在长期腹膜透析情况下出现孤立性梗阻点的急性肠梗阻病例。
结论
我们推测，长期腹膜透析患者中一些具有明显梗阻点的小肠梗阻病例可能代表一种独特的局限性EPS形式。我们旨在强调EPS临床表现存在宏观差异。
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