A Case of Strangulation Ileus caused by a Encapsulating Peritoneal Sclerosis due to a Peritoneo-venous Shunt

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 40; no. 3; pp. 325 - 330
• Main Authors: Tada, Masaharu, Nakayama, Noboru, Sakata, Shingo, Takeda, Ryoji, Yamamoto, Michihiro, Nishizaki, Daisuke, Yamaguchi, Tetsuya, Kondo, Morihiro, Takahashi, Hiroshi
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 2007
• Subjects: encapsulating peritoneal sclerosis; peritoneo-venous shunt; strangulation ileus
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.40.325

We present a case of a 59-year-old man with encapsulating peritoneal sclerosis (EPS) probably induced by a peritoneo-venous shunt (PVS). In February 2000, a PVS was inserted to control ascites caused by liver cirrhosis. In November 2001, the patient developed acute abdominal pain, was diagnosed with strangulation ileus, and underwent emergency abdominal surgery, during which, almost all abdominal organs were found to be covered with an opaque white hard coat. A part of the coated lesion was torn, and the intestine was exposed and strangulated by laceration with necrosis. Based on these findings, the patient was diagnosed with EPS as-sociated with strangulation ileus. Clinical EPS symptoms are ileus-like and abdominal organs are covered with an opaque white thick coat and cocooned in lumps. EPS is known to be a complication of continuous ambulatory peritoneal dialysis (CAPD), and this case suggests that an indwelling catheter other than a CAPD catheter, i. e., a foreign body in the abdominal cavity, may also be a risk factor for EPS.