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早期胃癌远端胃切除术后43年发生包裹性腹膜硬化症

Encapsulating Peritoneal Sclerosis 43 Years after Distal Gastrectomy for Early Gastric Cancer.

作者信息

Harada Wataru, Banshodani Masataka, Shimamoto Fumio, Shintaku Sadanori, Moriishi Misaki, Masaki Takao, Kawanishi Hideki

机构信息

Department of Kidney Disease and Blood Purification Therapy, Akane-Foundation, Tsuchiya General Hospital, Japan.

Department of Nephrology, Hiroshima University Hospital, Japan.

出版信息

Intern Med. 2024 Mar 1;63(5):659-663. doi: 10.2169/internalmedicine.2037-23. Epub 2023 Jul 19.

DOI:10.2169/internalmedicine.2037-23
PMID:37468244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10982008/
Abstract

We herein report a case of encapsulating peritoneal sclerosis (EPS) in a patient without chronic kidney disease after gastrectomy. A 69-year-old man underwent distal gastrectomy for early gastric cancer at 25 years old. After 43 years, he developed bowel obstruction and underwent enterolysis of the encapsulated small intestine. A pathological examination of the capsular membranes revealed inflammation, foam, and giant cells that destroyed foreign substances. The patient was discharged 1.5 months later. Foreign body reactions to surgical instruments used in gastrectomy are considered a cause of EPS. EPS due to foreign body reactions to surgical instruments should also be considered in such cases.

摘要

我们在此报告一例胃切除术后无慢性肾脏病患者发生的包裹性腹膜硬化（EPS）病例。一名69岁男性在25岁时因早期胃癌接受了远端胃切除术。43年后，他出现肠梗阻，并接受了包裹小肠的肠粘连松解术。包膜的病理检查显示有炎症、泡沫细胞和破坏异物的巨细胞。患者1.5个月后出院。对胃切除术中使用的手术器械的异物反应被认为是EPS的一个原因。在此类病例中也应考虑手术器械异物反应导致的EPS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/311707254e61/1349-7235-63-0659-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/6a0102545c3b/1349-7235-63-0659-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/638deb813609/1349-7235-63-0659-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/311707254e61/1349-7235-63-0659-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/6a0102545c3b/1349-7235-63-0659-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/638deb813609/1349-7235-63-0659-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f456/10982008/311707254e61/1349-7235-63-0659-g003.jpg

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本文引用的文献

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Vasculopathy plays an important role during the development and relapse of encapsulating peritoneal sclerosis with conventional peritoneal dialysis solutions.血管病变在传统腹膜透析液所致包裹性腹膜硬化的发生及复发过程中起重要作用。
Nephrol Dial Transplant. 2021 Jul 23;36(8):1519-1526. doi: 10.1093/ndt/gfaa073.
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Surgical Treatment for Encapsulating Peritoneal Sclerosis: 24 Years' Experience.包裹性腹膜硬化症的外科治疗：24 年经验。
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Inflammation-induced foam cell formation in chronic inflammatory disease.
慢性炎症性疾病中炎症诱导的泡沫细胞形成。
Immunol Cell Biol. 2015 Sep;93(8):683-93. doi: 10.1038/icb.2015.26. Epub 2015 Mar 10.
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Interstitial Fibrosis Restricts Osmotic Water Transport in Encapsulating Peritoneal Sclerosis.间质纤维化限制包裹性腹膜硬化症中的渗透性水转运。
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mTOR inhibitors for medical treatment of post-transplantation encapsulating peritoneal sclerosis: a favourable single center experience.mTOR抑制剂用于移植后包裹性腹膜硬化症的药物治疗：一项单中心良好经验
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Sclerosing encapsulating peritonitis: complication of laparoscopic cholecystectomy.硬化性包裹性腹膜炎：腹腔镜胆囊切除术的并发症
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[Granulomatous peritonitis due to the starch used in surgical gloves].[手术手套中使用的淀粉导致的肉芽肿性腹膜炎]
Medicina (B Aires). 2008;68(3):222-4.
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Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases.特发性硬化性包裹性腹膜炎（或腹腔茧症）：5例报告
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Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy.子宫切除术后硬化性包裹性腹膜炎（腹腔茧状包裹症）
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Sclerosing peritonitis: an unusual cause of ascites in a patient with systemic lupus erythematosus.硬化性腹膜炎：系统性红斑狼疮患者腹水的一种罕见病因。
Neth J Med. 2006 Oct;64(9):346-9.