title: Case report: acute bowel obstruction with an isolated transition point in peritoneal dialysis patients; a presentation of encapsulating peritoneal sclerosis?
abstract: BACKGROUND
  Encapsulating peritoneal sclerosis (EPS) is classically described as progressive sclerosis and cocooning of the entire peritoneum; however, there has been limited number of reported cases of localized fibrosis as a variant form.
  
  
  METHODS
  We describe two cases of acute bowel obstruction with isolated transition points in the setting of long-term peritoneal dialysis.
  
  
  CONCLUSIONS
  We postulate that some of the cases of small bowel obstruction with an obvious transition point in long-term peritoneal dialysis patients may represent a unique and localized form of EPS. We aim to emphasize the presence of macroscopic variations in presentation of EPS.
authors.affiliation: The Home Peritoneal Dialysis Unit, University Health Network, University of Toronto, Toronto, Canada. s_ghazanshahi@yahoo.ca.|Division of Nephrology, Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada. s_ghazanshahi@yahoo.ca.
authors.forename: Sassan
authors.initials: S
authors.lastname: Ghazan-Shahi
authors.affiliation: The Home Peritoneal Dialysis Unit, University Health Network, University of Toronto, Toronto, Canada.|Division of Nephrology, Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Bargman
mesh_terms: D000328:Adult; D003108:Colonic Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008181:Lupus Nephritis / Q000628:therapy; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D056627:Peritoneal Fibrosis / Q000150:complications* / Q000175:diagnosis