Nihon Toseki Igakkai Zasshi
Online ISSN : 1883-082X
Print ISSN : 1340-3451
ISSN-L : 1340-3451
A case of chronic pancreatitis complicated by spinal tumor and spondylolisthesis in a CAPD patient
Kenji ItoKimihiro KitamuraYasunao KomuroHitoshi UchidaOsamu YamaguchiYasuo Shiraiwa
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JOURNAL FREE ACCESS

1994 Volume 27 Issue 2 Pages 133-136

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Abstract

We report the case of a-year old male with chronic pancreatitis, complicated by spinal tumor and spondylolisthesis, undergoing CAPD. He had experienced two previous episodes of infectious peritonitis. Pancreatitis was suggested by abdominal CT and echography. The main causes of pancreatitis were 1) previous peritonitis and 2) glucose absorption by CAPD fluid. He was treated with gabexate mesilate and antibiotics, which resulted in substantial improvement. We removed the CAPD catheter because catheter-associated peritonitis persisted.
Low back pain is one complication of CAPD. We cannot, however, rule out spinal tumor or spondylolisthesis. Further examination, by mylography and MRI, is therefore necessary.

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© The Japanese Society for Dialysis Therapy
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