Case Report
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2005; 11(34): 5412-5413
Published online Sep 14, 2005. doi: 10.3748/wjg.v11.i34.5412
Sclerosing encapsulating peritonitis in a liver transplant patient: A case report
Chien-Hua Lin, Jyh-Cherng Yu, Teng-Wei Chen, De-Chuan Chan, Cheng-Jueng Chen, Chung-Bao Hsieh
Chien-Hua Lin, Jyh-Cherng Yu, Teng-Wei Chen, De-Chuan Chan, Cheng-Jueng Chen, Chung-Bao Hsieh, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Chung-Bao Hsieh, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. albert0920@yahoo.com.tw
Telephone: +886-2-87927191 Fax: +886-2-87927273
Received: March 9, 2005
Revised: April 13, 2005
Accepted: April 18, 2005
Published online: September 14, 2005
Abstract

We report a patient with HBV-related hepatocellular carcinoma (HCC) and refractory ascites who had received a peritoneal-venous shunt (PVS) 1 year before liver transplantation. Urgent surgical intervention following bowel obstruction and failure of immunosuppression therapy. No intestinal obstruction was found during an initial PVS. However, intestinal obstruction developed 2 wk after liver transplantation; and a cocoon abdomen was found upon exploration. This is the first reported case of cocoon abdomen caused by PVS and exacerbated by liver transplantation.

Keywords: Sclerosing encapsulating peritonitis; Cocoon abdomen; Intestinal obstruction; Liver transplantation