Korzets A, Korzets Z, Peer G, Papo J, Stern D, Bernheim J, Blum M
Department of Nephrology, Rokach (Hadassah) Hospital, Tel Aviv, Israel.
Am J Nephrol. 1988;8(2):143-6. doi: 10.1159/000167574.
Sclerosing peritonitis (SP) has come to be recognized as a serious complication of peritoneal dialysis (PD). However, diagnosis is often established at a late stage of the disease and at laparotomy. The use of computerized tomography (CT) of the abdomen in 2 patients, clinically suspected of suffering from SP, revealed loculated ascites, adherent bowel loops, bowel lumenal narrowing, and thickening of the peritoneal membrane. Such radiological changes in patients on PD seem highly consistent with a diagnosis of SP. We feel that CT of the abdomen may help in attaining an early, correct, and noninvasive diagnosis of SP. We recommend that CT of the abdomen be performed in any patient on chronic PD who has clinical manifestations suggestive of SP. Early diagnosis of SP can lead to early cessation of PD and hopeful recovery of the peritoneal membranes and space.
硬化性腹膜炎（SP）已被公认为腹膜透析（PD）的一种严重并发症。然而，诊断往往在疾病晚期和剖腹手术时才能确立。对2例临床疑似患有SP的患者进行腹部计算机断层扫描（CT）检查，发现有局限性腹水、肠袢粘连、肠腔狭窄以及腹膜增厚。腹膜透析患者出现的这些放射学改变似乎与SP的诊断高度一致。我们认为腹部CT有助于对SP进行早期、正确且无创的诊断。我们建议，对于任何有SP临床表现的慢性腹膜透析患者都应进行腹部CT检查。SP的早期诊断可促使早期停止腹膜透析，并有望使腹膜和腹腔恢复正常。
