The Arab Journal of Interventional Radiology

IR SNAPSHOTS
Year
: 2018  |  Volume : 2  |  Issue : 1  |  Page : 36-

Encapsulating peritoneal sclerosis: A rare complication of peritoneal dialysis


Ahmed Ali Sumayli, Nasser Dafer Alhendi 
 Department of Medical Imaging, Division of Vascular Interventional Radiology, King Abdulaziz Medical City, Riyadh, Saudi Arabia

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




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


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 24 ];2:36-36
Available from: http://www.arabjir.com/text.asp?2018/2/1/36/224829


Full Text

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}{Figure 2}

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]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Rigby RJ, Hawley CM. Sclerosing peritonitis: The experience in Australia. Nephrol Dial Transplant 1998;13:154-9.
2Ti 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.