Extensive peritoneal calcification and small intestinal perforation in a peritoneal dialysis patient: A case report

A 56-year-old woman was maintained on continuous ambulatory peritoneal dialysis (PD) for 12 years. The patient presented to our hospital with chief complaints of intermittent abdominal pain and frequent loose stool. Plain radiograph of abdomen revealed extensive peritoneal calcification. Computed tomography confirmed the extensive peritoneal calcification and revealed a large right ovarian cyst. Torsion of the right ovarian cyst was suspected. Right oophorectomy was performed. Small intestinal perforation developed 37 days after the operation. The patient expired because of peritonitis and sepsis. Extensive peritoneal calcification is a rare and serious complication after long-term PD. Intestinal perforation is a rare complication of PD. Pathognomic signs of imaging studies can be important in early diagnosis and treatment.

摘要一名56歲的婦女因腹痛及多次稀便至醫院求診,患者因腎功能衰竭長期施行腹膜透析。放射線學檢查證實有廣泛腹膜鈣化及卵巢囊腫。因懷疑併發卵巢囊腫扭轉而施行卵巢囊腫切除術,於術後第37天發生小腸穿孔,患者最後因腹膜炎及敗血症死亡。廣泛腹膜鈣化是長期腹膜透析罕見且嚴重的併發症,小腸穿孔是長期腹膜透析罕見之併發症,此兩種併發症皆有特殊放射線學表徵,有助於及早診斷及治療。