Encapsulating peritoneal sclerosis.
Encapsulating peritoneal sclerosis (EPS) is a rare but potentially lethal complication of peritoneal dialysis (PD). Peritoneal tuberculosis is considered an etiologic factor. We report a case of EPS in a 40-year-old man who was switched to hemodialysis because of peritoneal tuberculosis after 2 years of PD. Because of the persistence of gastrointestinal symptoms and cachexia, laparoscopic exploration was performed, which revealed an important thickening of the peritoneal membrane sheathing the intestinal loops. Accordingly, a diagnosis of EPS was made. Anti-tuberculosis treatment associated with a low dose of corticosteroids stabilized the disease.
Nephrology Department of Teaching Hospital, Aristide LE DANTEC, Dakar, Senegal.
M M
MM
Cisse
D
D
Dia
S M
SM
Seck
M
M
Cisse
E F
EF
Ka
S
S
Gueye
A O L
AO
Tall
A
A
Niang
B
B
Diouf
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D056627:Peritoneal Fibrosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014395:Peritonitis, Tuberculous / Q000150:complications*; D011241:Prednisone / Q000008:administration & dosage
D000893:Anti-Inflammatory Agents; D000995:Antitubercular Agents; D011241:Prednisone