Encapsulating peritoneal sclerosis : presentation without preceding symptoms

Joint Authors

Yiannoullou, Petros
Kanesalingam, Kavitha
Dellen, David Van
Augustine, Titus

Source

Saudi Journal of Kidney Diseases and Transplantation

Issue

Vol. 26, Issue 2 (30 Apr. 2015), pp.329-334, 6 p.

Publisher

Saudi Center for Organ Transplantation

Publication Date

2015-04-30

Country of Publication

Saudi Arabia

No. of Pages

6

Main Subjects

Medicine

Topics

Abstract EN

Encapsulating peritoneal sclerosis (EPS) is a rare but devastating complication of peritoneal dialysis (PD), resulting in malnutrition and ultimately overt intestinal obstruction.

We present the case of a 71-year-old man diagnosed with EPS incidentally at laparotomy for removal of PD catheter following an episode of PD peritonitis.

He had been treated with continuous ambulatory PD for 18 months.

He presented with anasarca and did not exhibit persistent symptoms of gastrointestinal dysfunction to suggest the EPS.

Computed tomography scanning obtained 18 days prior to confirmation of the diagnosis did not demonstrate any features suggestive of EPS, highlighting a deficiency in the sensitivity of the diagnostic investigations.

Management of the EPS is typically complicated by late diagnosis and concomitant malnutrition.

This case highlights both the insidious nature of the EPS and a management problem to the surgeon faced with an unexpected abdominal cocoon.

It further accentuates the necessity for increasingly sensitive diagnostic investigations to allow earlier diagnosis, thereby facilitating successful treatment.

American Psychological Association (APA)

Yiannoullou, Petros& Kanesalingam, Kavitha& Dellen, David Van& Augustine, Titus. 2015. Encapsulating peritoneal sclerosis : presentation without preceding symptoms. Saudi Journal of Kidney Diseases and Transplantation،Vol. 26, no. 2, pp.329-334.
https://search.emarefa.net/detail/BIM-532709

Modern Language Association (MLA)

Yiannoullou, Petros…[et al.]. Encapsulating peritoneal sclerosis : presentation without preceding symptoms. Saudi Journal of Kidney Diseases and Transplantation Vol. 26, no. 2 (2015), pp.329-334.
https://search.emarefa.net/detail/BIM-532709

American Medical Association (AMA)

Yiannoullou, Petros& Kanesalingam, Kavitha& Dellen, David Van& Augustine, Titus. Encapsulating peritoneal sclerosis : presentation without preceding symptoms. Saudi Journal of Kidney Diseases and Transplantation. 2015. Vol. 26, no. 2, pp.329-334.
https://search.emarefa.net/detail/BIM-532709

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 333-334

Record ID

BIM-532709