The Role of Enterolysis and Tamoxifen in Encapsulating Peritoneal Sclerosis: A Successful Case

Encapsulating peritoneal sclerosis (EPS) is a rare complication of dialysis which mortality can reach 50%. The usual treatment involves suspension the technique, medical treatment, and surgical enterolysis. We report case 36-year-old female who undergone continuous ambulatory without complications for 10 years. She presented at emergency department with abdominal pain diagnosis peritonitis was assumed. patient developed systemic inflammatory response, her computer tomography (CT) scan showed multiple parietal calcifications. After broad-spectrum antibiotics, an undetermined febrile syndrome persisted, parenteral nutrition started. An EPS established tamoxifen proposed. Exploratory laparoscopy decided, intraoperative findings were consistent EPS. submitted to extensive A clinical improvement led discharge after 60 days hospitalization. more than 30 months tamoxifen, she remains on hemodialysis doing well. There are no randomized controlled trials guide management following procedures difficult decide, makes these reports important reflection. describe successful EPS, very severe presentation. enterolysis contributed decisively this outcome.