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ADHESIOLYSIS AND PARTIAL RESECTION OF TERMINAL ILEUM IN A PATIENT WITH KIDNEY TRANSPLANTATION AND SEVERE SCLEROSING PERITONITIS
NIKOLINA BAŠIć-JUKIć
; Klinički bolnički centar Zagreb, Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska
TIHOMIR KEKEZ
; Opća bolnica Bjelovar, Klinika za kirurgiju, Bjelovar, Hrvatska
IVANA JURIć
; Klinički bolnički centar Zagreb, Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska
JOSIP PASINI
; Opća bolnica Bjelovar, Klinika za urologiju, Bjelovar, Hrvatska
VESNA LOVčIć
; Opća bolnica Bjelovar, Odjel za internu medicinu, Bjelovar, Hrvatska
PETAR KES
; Klinički bolnički centar Zagreb, Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska
Sažetak
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.
Ključne riječi
sclerosing peritonitis; CAPD; renal transplantation; adhesiolysis
Hrčak ID:
97577
URI
Datum izdavanja:
14.2.2013.
Posjeta: 2.870 *