Trauma and Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Emergency General Surgery, Manchester Royal Infirmary, Manchester, UK.
BMJ Case Rep. 2022 Mar 23;15(3):e245156. doi: 10.1136/bcr-2021-245156.
Both encapsulating peritoneal sclerosis (EPS) and calciphylaxis are rare but severe complications involving patients with end-stage renal disease. In this report, we discuss a unique case of a 73-year-old female patient who had undergone 8 years of peritoneal dialysis for IgA nephropathy and concurrently developed these two synchronous complications within 3 months of each other. Diagnosis and management of both conditions were discussed in detail as well as the possible association between the two. With surgical treatment for EPS and measures to minimise bone mineral disorder abnormalities, both complications have been successfully managed to date.
包裹性腹膜硬化症（EPS）和钙化防御均为罕见但严重的并发症，可累及终末期肾病患者。本报告讨论了一例独特的病例，一名 73 岁女性患者因 IgA 肾病接受了 8 年的腹膜透析，在 3 个月内先后并发这两种同步性并发症。详细讨论了这两种情况的诊断和治疗，以及两者之间可能存在的关联。通过对 EPS 进行手术治疗，并采取措施尽量减少骨矿物质紊乱异常，目前这两种并发症均已得到成功控制。
