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A case of cyclic hemoperitoneum in a hemodialysis patient: Encapsulated peritoneal sclerosis complicated by endometriosis and fungal peritonitis
Author(s) -
Yılmaz Fatih,
Bora Feyza,
Çetinkaya Ramazan,
Gelen Mustafa Tekinalp,
Süleymanlar Gültekin,
Ersoy Fevzi
Publication year - 2020
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12945
Subject(s) - medicine , endometriosis , peritoneal dialysis , hemoperitoneum , peritoneal fluid , abdominal pain , vomiting , hemodialysis , peritonitis , nausea , complication , surgery
Encapsulated peritoneal sclerosis (EPS) is a rare, but frequently fatal, long‐term complication of peritoneal dialysis. Endometriosis is a common gynecological problem but hemoperitoneum due to endometriosis has been reported to be extremely rare in hemodialysis (HD) patients. A 25‐year‐old female HD patient was admitted to our clinic with nausea, vomiting, abdominal pain, and weight loss for last 3 months. Candida tropicalis and Candida glabrata were isolated in the fungal cultures from peritoneal fluid. Her abdominal computerized tomography scan has shown irregular peritoneal calcifications, diffuse peritoneal thickening, dilatation of the small bowel loops, and cocoon formation which all were typical for EPS. Hemoperitoneum was reported to recur for four times with intervals suggesting menstrual cycles. Her peritoneal biopsy, along with the signs of EPS, has also revealed the presence of endometriosis. The patient died with symptoms of septic shock in the first year of EPS diagnosis.