title: Post-transplantation encapsulating peritoneal sclerosis in a young child.
abstract: Encapsulating peritoneal sclerosis (EPS) is a very rare condition in children. Nevertheless, EPS should be considered when a child with a history of peritoneal dialysis (PD) presents with signs of bowel obstruction. We describe a child with post-transplantation EPS and discuss risk factors, diagnosis and treatment options. CT scan should be performed promptly to confirm the diagnosis. Treatment consists of cessation of the PD, if applicable, and adequate nutrition, either parenteral or enteral. Further medical therapy remains controversial but may involve steroids and/or interruption of calcineurin inhibitors.
authors.affiliation: Department of Children Nephrology, Sophia Children’s Hospital, Erasmus MC, Rotterdam, Netherlands.
authors.forename: Ratna
authors.initials: R
authors.lastname: Tan
authors.forename: Michiel
authors.initials: M
authors.lastname: Betjes
authors.forename: Karlien
authors.initials: K
authors.lastname: Cransberg
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D056627:Peritoneal Fibrosis / Q000209:etiology*; D011183:Postoperative Complications; D012307:Risk Factors; D014057:Tomography, X-Ray Computed