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A 45-year-old man who was receiving long-term continuous ambulatory peritoneal dialysis for renal failure presented with a two-month history of colicky abdominal pain, weight loss, and vomiting. The dialysis fluid contained standard levels of sodium (132 mmol per liter), magnesium (0.25 mmol per liter), chloride (95 mmol per liter), and lactate (40 mmol per liter) and a low level of calcium (1.25 mmol per liter). A plain abdominal film showed the typical findings of sclerosing peritonitis: diffuse calcification of the peritoneum (arrow in Panel A) and small-bowel dilatation. Computed tomography of the abdomen showed both peritoneal and mesenteric thickening with . . . [Full Text of this Article] |
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