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Encapsulating peritoneal sclerosis.

M M Cisse1, D Dia, S M Seck

  • 1Nephrology Department of Teaching Hospital, Aristide LE DANTEC, Dakar, Senegal.

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|November 16, 2013
PubMed
Summary
This summary is machine-generated.

Encapsulating peritoneal sclerosis (EPS), a serious complication of peritoneal dialysis (PD), can be linked to peritoneal tuberculosis. Treatment with anti-tuberculosis medication and corticosteroids stabilized this rare condition in a PD patient.

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Encapsulating peritoneal sclerosis (EPS) is a rare, potentially fatal complication associated with peritoneal dialysis (PD).
  • Peritoneal tuberculosis is a recognized, though uncommon, etiologic factor in the development of EPS.
  • Early diagnosis and management are crucial for patient outcomes.

Observation:

  • A 40-year-old male patient on PD for 2 years developed peritoneal tuberculosis.
  • Following a switch to hemodialysis due to tuberculosis, the patient experienced persistent gastrointestinal symptoms and cachexia.
  • Laparoscopic exploration revealed significant thickening of the peritoneal membrane encasing the intestinal loops, indicative of EPS.

Findings:

  • The patient was diagnosed with encapsulating peritoneal sclerosis.
  • A treatment regimen combining anti-tuberculosis therapy with low-dose corticosteroids was initiated.
  • This therapeutic approach led to disease stabilization.

Implications:

  • This case highlights the importance of considering peritoneal tuberculosis as a potential trigger for EPS in PD patients.
  • It underscores the need for vigilant monitoring of gastrointestinal symptoms in PD patients with a history of tuberculosis.
  • The successful management suggests a potential therapeutic strategy for similar cases, emphasizing a multidisciplinary approach.