Open AccessAn unusual case of cocoon abdomen in a patient on hemodialysis
Author(s) -
Ajay Jaryal,
Manish Rathi,
Amanjit Bal,
Anju Goyal,
Raja Ramachandran,
Vishal Kumar,
Harbir Singh Kohli,
KL Gupta
Publication year - 2016
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.157420
Subject(s) - medicine , hemodialysis , peritonitis , continuous ambulatory peritoneal dialysis , abdomen , etiology , pathogenesis , peritoneal dialysis , ascites , surgery
"Cocoon abdomen" or sclerosing encapsulating peritonitis is a rare cause of intestinal obstruction. It has been described in patients on continuous ambulatory peritoneal dialysis. The exact etiology is unknown, but pathogenesis rests on chronic peritoneal inflammation. No case has been reported so far in patients on hemodialysis. We hereby report a case of cocoon abdomen presenting as refractory ascites with intestinal obstruction in a patient on maintenance hemodialysis.