Gastrointestinal: A worm in a cocoon: an unusual presentation of encapsulating peritoneal sclerosis

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An unusual case of encapsulating peritoneal sclerosis.

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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 explo...

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Encapsulating Peritoneal Sclerosis

Chronic peritoneal dialysis (PD) can be complicated by encapsulating peritoneal sclerosis (EPS), a rare but the most severe complication associated with long-term PD. Morbidity and mortality are still high (range from 25% to 55%) especially in the first year after diagnosis. The international Society for Peritoneal Dialysis (ISPD) defined EPS by clinical signs of abdominal pain, bowel obstructi...

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Idiopathic Sclerosing Encapsulating Peritonitis: A rare abdomen cocoon presentation

Background: Abdominal cocoon is characterized by small bowel encapsulation and is a rare cause of intestinal obstruction. Case report: We describe a young man who had recurrent subacute intestinal obstruction. On elective exploration of abdomen, the entire small bowel was found to be encapsulated inside a white dense fibrous sac. The peritoneal sac was excised, followed by lysis of the interloo...

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Encapsulating peritoneal sclerosis--a complication of peritoneal dialysis.

Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis. It often presents with non-specific symptoms, leading to a delay in diagnosis and a poor prognosis. Here we report a case of EPS in a patient treated with peritoneal dialysis and discuss the risk factors, diagnostic challenges and treatment options available.

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ژورنال

عنوان ژورنال: Journal of Gastroenterology and Hepatology

سال: 2011

ISSN: 0815-9319

DOI: 10.1111/j.1440-1746.2011.06619.x