EJMCR |

Case Report

Volume: 8 | Issue: 5 | Published: Apr 19, 2024 | Pages: 93 - 98 | DOI: 10.24911/ejmcr.173-1674480261

Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report

Authors: Nurul Huda Abdullah , Fattah Rahiman Ghazali , Najihah Hussin , Muhammad Imran Kamarudin

Article Info

Authors

Nurul Huda Abdullah

Department of Internal Medicine, Universiti Sains Malaysia (USM), Kelantan, Malaysia

ORCID

Fattah Rahiman Ghazali

Internal Medicine Physician, Department of Internal Medicine, Universiti Sains Malaysia (USM), Kelantan, Malaysia

Najihah Hussin

Internal Medicine Physician, Department of Internal Medicine, Universiti Sains Malaysia (USM), Kelantan, Malaysia

Muhammad Imran Kamarudin

Department of Radilogy, Universiti Sains Malaysia, Kelantan, Malaysia.

Publication History

Received: February 20, 2023

Revised: June 20, 2023

Accepted: August 25, 2023

Published: April 19, 2024

Abstract

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, green

Pubmed Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR. 2024; 19 (April 2024): 93-98. doi:10.24911/ejmcr.173-1674480261

Web Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. https://ejmcr.com/articles/1238 [Access: December 25, 2024]. doi:10.24911/ejmcr.173-1674480261

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin. Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR. (2024), [cited December 25, 2024]; 19 (April 2024): 93-98. doi:10.24911/ejmcr.173-1674480261

Harvard Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin (2024) Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. EJMCR, 19 (April 2024): 93-98. doi:10.24911/ejmcr.173-1674480261

Chicago Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin. "Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report." 19 (2024), 93-98. doi:10.24911/ejmcr.173-1674480261

MLA (The Modern Language Association) Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin. "Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report." 19.April 2024 (2024), 93-98. Print. doi:10.24911/ejmcr.173-1674480261

APA (American Psychological Association) Style

Nurul Huda Abdullah, Fattah Rahiman Ghazali, Najihah Hussin, Muhammad Imran Kamarudin (2024) Encapsulating Peritoneal Sclerosis in a hemodialysis patient: a case report. , 19 (April 2024), 93-98. doi:10.24911/ejmcr.173-1674480261