A case of encapsulating peritoneal sclerosis that was pathologically diagnosed at autopsy ＞10 years after the cessation of peritoneal dialysis

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  • 腹膜透析中止後10年以上を経てから診断し得た被囊性腹膜硬化症の1剖検例
  • フクマク トウセキ チュウシ ゴ 10ネン イジョウ オ ヘテ カラ シンダン シエタ ヒノウセイ フクマク コウカショウ ノ 1 ボウケンレイ

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Abstract

<p>In X－19, a 74‒year‒old male with end‒stage kidney disease caused by IgA nephropathy was started on continuous ambulatory peritoneal dialysis. In X－13, he was switched to hemodialysis due to fluid retention. In X－2, he underwent mitral valve replacement surgery because he experienced difficulties with dialysis caused by the exacerbation of mitral regurgitation and loss of cardiac function. In X－1, marked ascites appeared. In X, he was admitted to our hospital because of severe pleural effusion, ascites, anemia, and weight loss. He died of respiratory failure, and an autopsy was performed. His intestines were covered by a thick peritoneum： therefore, he was diagnosed with encapsulating peritoneal sclerosis.</p>

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