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September 1980

Sclerotic Thickening of the Peritoneal Membrane in Maintenance Peritoneal Dialysis Patients

Author Affiliations

From the Departments of Medicine (Drs Gandhi, Humayun, Ing, and Daugirdas), Pathology (Dr Jablokow), and Surgery (Dr Iwatsuki), Veterans Administration Edward Hines, Jr, Hospital, Hines, Ill; and the Departments of Surgery (Dr Geis), and Medicine (Dr Hano), Loyola University Stritch School of Medicine, Maywood, Ill.

Arch Intern Med. 1980;140(9):1201-1203. doi:10.1001/archinte.1980.00330200077024

• Five patients receiving maintenance peritoneal dialysis (duration, three months to four years) required surgical exploration of the abdomen for various reasons. Four had a prior history of bacterial peritonitis, and four of aseptic peritonitis. At laparotomy, the peritoneal membrane was found to be markedly thickened and sclerotic in all patients, and loops of bowel were bound together in a dense, opaque casing. On microscopic examination, an increase in fibroconnective tissue in the peritoneum was observed.

(Arch Intern Med 140:1201-1203, 1980)