Ischemic colitis in chronic intermittent peritoneal dialysis.
Ischemic colitis in chronic intermittent peritoneal dialysis.
复制标题
慢性间歇性腹膜透析中的缺血性结肠炎。
作者：
G. Koren;M. Aladjem;J. Militiano;B. Seegal;A. Jonash;H. Boichis
1例6岁零8个月大的男婴因终末期肾病接受慢性间歇腹膜透析，表现为严重腹泻、腹胀、痉挛、下急和呕吐。钡灌肠显示乙状结肠和远端降结肠粘膜僵硬和不规则，呈“拇指印样”外观，与缺血性结肠炎相符。血液透析的机构和腹膜透析的停止导致了显著的临床和放射学的改善。一个月后进行的肾移植与他的肠道疾病完全治愈有关。
A 6-year and 8-month-old boy on chronic intermittent peritoneal dialysis for end stage kidney disease presented with severe diarrhea, abdominal distension, cramps, tenesmus and vomiting. Barium enema showed rigidity and irregularity of the mucosa of the sigmoid and distal descending colon, with 'thumb print like' appearance, findings compatible with ischemic colitis. The institution of hemodialysis and discontinuation of the peritoneal dialysis resulted in a marked clinical and radiological improvement. Kidney transplantation performed a month later was associated with a complete cure of his intestinal disease.