A 60-year-old female, who had undergone maintenance hemodialysis for 1 year following continuous ambulatory peritoneal dialysis for 8 years, was admitted to Hiroshima Prefectural Hospital due to nausea, vomiting and abdominal distention in November 1996. Radiological examinations showed a lack of bowel movement, thickened intestinal wall and markedly dilated intestine. Under a diagnosis of sclerosing encapsulated peritonitis, conservative therapy was performed but it was unsuccessful. Acute heart failure occurred due to cardiomyopathy and septic status caused by prolonged ileus. She died of severe arrhythmia in December 1996. Autopsy revealed both infectious peritonitis and sclerosing encapsulated peritonitis. At the same time, dialysis-related amyloid deposits were recognized at the wall of the systemic vessels, cardiac muscle, septum of the lungs and other organs.
We present rare case of both sclerosis encapsulated peritonitis and dialysis-related general amyloidosis.