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Encapsulating Peritoneal Sclerosis Improvement Following Conservative Treatment in a Child Undergoing Peritoneal
John Dotis1, Antonia Kondou1, Vasiliki Karava2
1Department of Pediatrics, Hippokration General Hospital/Aristotle University of Thessaloniki, Thessaloniki, GRC.
Insights
Encapsulating peritoneal sclerosis (EPS), a serious complication of peritoneal dialysis (PD), can be diagnosed early with CT scans. Prompt diagnosis allows for successful non-surgical treatment with corticosteroids and tamoxifen.
Area of Science:
- Pediatric Nephrology
- Radiology
- Gastroenterology
Background:
- Encapsulating peritoneal sclerosis (EPS) is a rare but severe complication of long-term peritoneal dialysis (PD) in children.
- Early diagnosis and management are crucial for improving patient outcomes.
Abstract:
Encapsulating peritoneal sclerosis (EPS) constitutes a rare but one of the most serious complications of long-term peritoneal dialysis (PD) in children. The role of abdominal computed tomography (CT) imaging in the early recognition and management of EPS is of great importance and should be performed promptly to establish diagnosis. This fact can provide an opportunity for conservative treatment with corticosteroids and tamoxifen, as it appears that early treatment can have beneficial effects. Based on the above, we present a five-year-old girl undergoing PD who developed EPS established by abdominal CT, who was withdrawn from the PD method but was successfully treated with a combination of prednisone and tamoxifen without the need for a surgical approach.
