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Year : 2018  |  Volume : 2  |  Issue : 1  |  Page : 36

Encapsulating peritoneal sclerosis: A rare complication of peritoneal dialysis


Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, Riyadh, Saudi Arabia

Date of Web Publication6-Feb-2018

Correspondence Address:
Ahmed Ali Sumayli
Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, P. O. Box: 22490, Riyadh 11426
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIR.AJIR_30_17

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How to cite this article:
Sumayli AA, Alhendi ND. Encapsulating peritoneal sclerosis: A rare complication of peritoneal dialysis. Arab J Intervent Radiol 2018;2:36

How to cite this URL:
Sumayli AA, Alhendi ND. Encapsulating peritoneal sclerosis: A rare complication of peritoneal dialysis. Arab J Intervent Radiol [serial online] 2018 [cited 2020 Sep 26];2:36. Available from: http://www.arabjir.com/text.asp?2018/2/1/36/224829

A 50-year-old female with Alport syndrome and end-stage renal disease was started on peritoneal dialysis (PD) 6 years earlier. The patient presented with recurrent episodes of abdominal pain and distension. Serial computed tomography of the abdomen showed progressive thickening and calcifications of the peritoneum consistent with encapsulating peritoneal sclerosis [Figure 1] and [Figure 2]. The PD catheter was removed, and the patient was shifted to hemodialysis.
Figure 1: (a) Axial computed tomography image 5 years after initiation of peritoneal dialysis shows the peritoneal dialysis catheter with no peritoneal calcification. (b and c) Axial computed tomography images show extensive peritoneal calcification

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Figure 2: Abdominal radiograph shows extensive peritoneal calcifications engulfing the small-bowel loops

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Encapsulating peritoneal sclerosis is uncommon, but serious complication of continuous ambulatory PD with increasing prevalence with longer duration of PD approaching 20% after 8 years. Encapsulating peritoneal sclerosis is associated with high morbidity and mortality (56%) due to bowel obstruction, and it may clinically manifest with recurrent abdominal pain, prolonged dialysis sessions, hemoperitoneum, and dialysis failure.[1],[2]

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Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Rigby RJ, Hawley CM. Sclerosing peritonitis: The experience in Australia. Nephrol Dial Transplant 1998;13:154-9.  Back to cited text no. 1
[PUBMED]    
2.
Ti JP, Al-Aradi A, Conlon PJ, Lee MJ, Morrin MM. Imaging features of encapsulating peritoneal sclerosis in continuous ambulatory peritoneal dialysis patients. AJR Am J Roentgenol 2010;195:W50-4.  Back to cited text no. 2
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    Figures

  [Figure 1], [Figure 2]



 

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