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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 66 No. 3, 2012.

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ADHESIOLYSIS AND PARTIAL RESECTION OF TERMINAL ILEUM IN A PATIENT WITH KIDNEY TRANSPLANTATION AND SEVERE SCLEROSING PERITONITIS

NIKOLINA BAŠIć-JUKIć ; Zagreb University Hospital Center, Department of Internal Medicine, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation Zagreb, Croatia
TIHOMIR KEKEZ ; Department of Surgery, Bjelovar General Hospital, Bjelovar, Croatia
IVANA JURIć ; Zagreb University Hospital Center, Department of Internal Medicine, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation Zagreb, Croatia
JOSIP PASINI ; Department of Urology, Bjelovar General Hospital, Bjelovar, Croatia
VESNA LOVčIć ; General Hospital Bjelovar, Department of internal medicine,Bjelovar, Croatia
PETAR KES ; Zagreb University Hospital Center, Department of Internal Medicine, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation Zagreb, Croatia

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Abstract

A 21-year-old female patient was diagnosed with horseshoe kidney at the age of 10. She had been treated with peritoneal dialysis from 2005 to 2009, when she received kidney from a deceased donor. The posttransplant course was complicated by development of Pseudomonas aeruginosa and Candida sepsis. Reduced immunosuppression resulted in acute rejection, which demanded graphtectomy 2 months after transplantation. She restarted peritoneal dialysis for additional 2 years. In March 2011, she received her second transplant with excellent function. Nine months after the transplantation, she developed ascites, with early satiety and vomiting. MSCT revealed severe encapsulating sclerosing peritonitis. Her overall condition deteriorated, so she underwent adhesiolysis with resection of incarcerated terminal ileum. Due to acute allograft rejection, urgent graphtectomy was performed. Currently, she is receiving everolimus and dialysis successfully, with excellent overall status.

Keywords

sclerosing peritonitis; CAPD; renal transplantation; adhesiolysis

Hrčak ID:

97577

URI

https://hrcak.srce.hr/97577

Publication date:

14.2.2013.

Article data in other languages: croatian

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