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Sclerosing encapsulating peritonitis in a child secondary to peritoneal dialysis

Felicia Li-Sher Tan1, Dale Loh, Krishnan Prabhakaran

  • 1Department of Pediatric Surgery, National University Hospital, Singapore.

Journal of Pediatric Surgery
|June 7, 2005
PubMed

Insights

Sclerosing encapsulating peritonitis, a rare complication of continuous ambulatory peritoneal dialysis, can cause intestinal obstruction. Early diagnosis and surgical intervention are crucial for managing this serious condition.

Area of Science:

  • Nephrology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon, is a rare complication of continuous ambulatory peritoneal dialysis (CAPD).
  • SEP presents as marked peritoneal thickening, leading to intestinal obstruction.

Observation:

  • A 14-year-old male on CAPD presented with acute intestinal obstruction symptoms.
  • Abdominal CT revealed clustered, distended small bowel loops with thickened, calcified peritoneum.

Findings:

  • Laparotomy confirmed SEP.
  • Surgical excision of the fibrocollagenous membrane was performed.
  • The patient experienced prolonged ileus and required nutritional support.

Implications:

  • Prompt diagnosis and surgical management are vital for SEP.
  • SEP is a potentially life-threatening condition requiring high clinical awareness.
  • Restarting CAPD post-surgery is feasible after recovery.

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