Korean J Nephrol.  2009 Sep;28(5):525-530.

A Case of Encapsulating Peritoneal Sclerosis, Presenting as Hemoperitoneum, Successfully Treated by Enterolysis

• Kim YB
• Yoo MW
• Jeon HJ
• Lim SD
• Choi YH
• Kim BS
• Park JH
• Lee JH
• Park JH
• Jo YI

Abstract

Encapsulating peritoneal sclerosis (EPS) is an uncommon but fatal complication of peritoneal dialysis (PD). Recently, there were some reports of advanced EPS cases that were successfully treated by enterolysis although an intestinal perforation or leakage from intestinal anastomosis were associated with a high mortality. We experienced a case of EPS in a 53-year-old man on PD for 3.5 years without a previous history of episode of peritonitis who presented with hemoperitoneum during treatment of peritonitis. EPS was diagnosed radiologically according to typical CT findings; The series of CT scans revealed how to develop in sequence from a very subtle findings to full-blown findings of EPS. Enterolysis was performed because the patient did not respond to conservative management such as cessation of PD with transfer to hemodialysis, nutritional support and steroid therapy. In spite of intestinal perforation during surgery, he was successfully treated with enterolysis. Therefore, we report this case with review of the literature.

Keyword

Continuous ambulatory peritoneal dialysis (CAPD); Peritonitis; Sclerosis

MeSH Terms

Hemoperitoneum
Humans
Intestinal Perforation
Middle Aged
Nutritional Support
Peritoneal Dialysis
Peritoneal Fibrosis
Peritonitis
Renal Dialysis
Sclerosis