This patient received a renal transplant after being on peritoneal dialysis for 17 years. She developed repeated episodes of intestinal obstruction afterwards. This is a rare complication called encapsulating peritoneal sclerosis, which may develop in patients who have received a long period of peritoneal dialysis. CT scan of the abdomen showed thickening and calcification of the peritoneum and bowel wall. There is a small loculation of fluid with calcified wall in the anterior abdomen. The small bowel loops appears prominent. However, classical features of bowel cocooning and tethering are absent. The graft kidney is seen in the left side of the scan. Encapsulating peritoneal sclerosis is associated with high mortality.
Encapsulating Peritoneal Sclerosis
