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[Hemoperitoneum after drop-out from peritoneal dialysis].

Giuseppe Gernone, Vito Pepe, Michele Giannattasio

Giornale Italiano Di Nefrologia : Organo Ufficiale Della Societa Italiana Di Nefrologia

|March 28, 2014

Summary

Encapsulating peritoneal sclerosis is a rare complication of peritoneal dialysis. Early recognition and immunosuppressive treatment can lead to favorable outcomes in patients with end-stage renal disease.

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Area of Science:

Nephrology
Gastroenterology
Pathology

Background:

Peritoneal dialysis (PD) is a common treatment for end-stage renal disease (ESRD).
Encapsulating peritoneal sclerosis (EPS) is a rare but serious complication of long-term PD.
EPS can lead to ultrafiltration failure and other complications, necessitating transfer to hemodialysis.

Observation:

A 55-year-old woman with ESRD developed bloody ascites after transitioning from PD to hemodialysis.
She had a history of exit-site infections and culture-negative peritonitis during 8 years of PD.
Clinical and radiological findings suggested EPS, confirmed by peritoneal biopsy.

Findings:

The patient presented with symptoms suggestive of encapsulating peritoneal sclerosis.
Peritoneal biopsy confirmed the diagnosis of EPS.
Treatment with immunosuppressive therapy resulted in a successful clinical outcome.

Implications:

This case highlights the importance of recognizing the clinical features of EPS in PD patients.
Early diagnosis and appropriate treatment, including immunosuppression, are crucial for managing EPS.
Despite its rarity and severity, favorable outcomes are possible with timely intervention.