Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report
Authors: Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin
Background: Encapsulating peritoneal sclerosis is a rare manifestation nowadays. Case report: This was a case report of a young female with ESKD on hemodialysis for more than 6 months with a previous history of continuous ambulatory peritoneal dialysis (CAPD) and recurrent peritonitis which currently presented with painful abdominal distension. The CT scan of the abdomen showed a clumping of small bowel loops at the left side encased into a thin fibrocartilaginous membrane. Initially, she was treated for intrabdominal sepsis however after recurrent admission, IV Methylprednisolone was started followed by high dose steroids and tamoxifen as a treatment for EPS. Surprisingly she improved and had a good clinical response. She had readmitted again after a few months with abdominal pain due to an abrupt stop in steroid but improved again after the steroid was started. Conclusion: Abdominal pain in a patient with history of CAPD peritonitis needs to raise suspicion of EPS even though is rare Radiological Imaging is helpful in making early diagnosis. The most important thing is steroid as a mainstay of the treatment of EPS besides tamoxifen with a minimal one-year duration or lifelong as surgical intervention is very risky.
Keywords: encapsulating peritoneal sclerosis, peritonitis, clumping of bowel loops, tamoxifen, steroid.
Authors
Correspondence to:
Nurul Huda Abdullah, Internal Medicine Department, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia nurhuda@usm.my
Publication history:
Received 20 Feb 2023
Revised 20 Jun 2023
Accepted 25 Aug 2023
Published online 19 Apr 2024
Published in print 18 May 2024
Abdullah NH, Ghazali FR, Hussin N, Kamarudin MI. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR. 2024; 8(5): 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah NH, Ghazali FR, Hussin N, Kamarudin MI. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. https://www.ejmcr.com/?mno=141643 [Access: July 03, 2024]. doi:
10.24911/ejmcr.173-1674480261
Abdullah NH, Ghazali FR, Hussin N, Kamarudin MI. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR. 2024; 8(5): 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah NH, Ghazali FR, Hussin N, Kamarudin MI. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR. (2024), [cited July 03, 2024]; 8(5): 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah, N. H., Ghazali, . F. R., Hussin, . N. & Kamarudin, . M. I. (2024) Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR, 8 (5), 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah, Nurul Huda, Fattah Rahiman Ghazali, Najihah Hussin, and Muhammad Imran Kamarudin. 2024. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. European Journal of Medical Case Reports, 8 (5), 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah, Nurul Huda, Fattah Rahiman Ghazali, Najihah Hussin, and Muhammad Imran Kamarudin. "Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report." European Journal of Medical Case Reports 8 (2024), 93-98. doi:
10.24911/ejmcr.173-1674480261
Abdullah, Nurul Huda, Fattah Rahiman Ghazali, Najihah Hussin, and Muhammad Imran Kamarudin. "Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report." European Journal of Medical Case Reports 8.5 (2024), 93-98. Print. doi:
10.24911/ejmcr.173-1674480261
Abdullah, N. H., Ghazali, . F. R., Hussin, . N. & Kamarudin, . M. I. (2024) Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. European Journal of Medical Case Reports, 8 (5), 93-98. doi:
10.24911/ejmcr.173-1674480261