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Encapsulating Peritoneal Sclerosis: A Case Report and Literature Review
Ali I Al-Lawati1, Maha Al Shaibi2, Ghaitha Al Mahruqi3
1Department of Nephrology, Sultan Qaboos University Hospital, Muscat, Oman.
The American Journal of Case Reports
|October 4, 2020
Summary
Encapsulating peritoneal sclerosis (EPS), a rare complication of long-term peritoneal dialysis (PD), can occur post-transplant. Early surgical intervention for EPS is crucial for patient survival.
Area of Science:
- Nephrology
- Gastroenterology
- Transplantation
Background:
- Encapsulating peritoneal sclerosis (EPS) is a rare, life-threatening complication of long-term peritoneal dialysis (PD).
- No established evidence-based management strategy exists for EPS.
- Surgical management is indicated when conservative measures fail.
Observation:
- A 26-year-old male on long-term PD developed small-bowel obstruction one month post-renal transplant.
- Imaging revealed adhesions causing obstruction.
- Exploratory laparotomy indicated early EPS localized to the terminal ileum.
Findings:
- Surgical intervention included total enterolysis, peritonectomy, and resection of the diseased terminal ileum.
- The patient recovered well post-operatively.
- Discharged on postoperative day 10.
Implications:
- EPS is a serious complication of long-term PD, potentially fatal.
- Early diagnosis and surgical treatment are vital to prevent morbidity and mortality.
- This case highlights the importance of considering EPS in PD patients with post-transplant bowel obstruction.
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