title: A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis.
abstract: Encapsulating peritoneal sclerosis is a rare complication of long-term peritoneal dialysis ranging from moderate inflammation of peritoneal structures to severe sclerosing peritonitis and encapsulating peritoneal sclerosis. Complicated it, ileus may occur during or after peritoneal dialysis treatment or after kidney transplant. We sought to evaluate 3 posttransplant encapsulating peritoneal sclerosis through clinical presentation, radiologic findings, and outcomes. We analyzed 3 renal transplant patients with symptoms of encapsulating peritoneal sclerosis admitted posttransplant to our hospital with ileus between 2012 and 2013. Conservative treatment was applied to the patients whenever necessary to avoid surgery. One patient improved with medical therapy. Surgical treatment was delayed and we decided it as a last resort, in 2 cases with no response to conservative treatment for a long time. Finally, patients with peritoneal dialysis history should be searched carefully before renal transplant for intermittent bowel obstruction story.
authors.affiliation: From the Department of General Surgery and Transplantation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: Ali Murat
authors.initials: AM
authors.lastname: Gökçe
authors.forename: Leyla
authors.initials: L
authors.lastname: Özel
authors.forename: Sevinç
authors.initials: S
authors.lastname: İbişoğlu
authors.forename: Pınar
authors.initials: P
authors.lastname: Ata
authors.forename: Gülizar
authors.initials: G
authors.lastname: Şahin
authors.forename: Murat
authors.initials: M
authors.lastname: Gücün
authors.forename: V Melih
authors.initials: VM
authors.lastname: Kara
authors.forename: Ebru
authors.initials: E
authors.lastname: Özdemir
authors.forename: M İzzet
authors.initials: Mİ
authors.lastname: Titiz
mesh_terms: D000328:Adult; D005260:Female; D005355:Fibrosis; D006801:Humans; D045823:Ileus / Q000209:etiology*; D016030:Kidney Transplantation; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D056627:Peritoneal Fibrosis / Q000473:pathology*; D010537:Peritoneum / Q000473:pathology; D011183:Postoperative Complications; D012598:Sclerosis