Encapsulating peritoneal sclerosis (EPS) is an uncommon but fatal complication of
peritoneal dialysis (PD). Recently, there were some
reports of advanced EPS cases that were successfully treated by enterolysis although an
intestinal perforation or
leakage from intestinal anastomosis were associated with a high
mortality. We experienced a case of EPS in a 53-year-old man on PD for 3.5 years without a previous
history of episode of
peritonitis who presented with
hemoperitoneum during
treatment of
peritonitis. EPS was diagnosed radiologically according to typical CT findings; The series of CT scans revealed how to develop in sequence from a very subtle findings to full-blown findings of EPS. Enterolysis was performed because the
patient did not respond to
conservative management such as cessation of PD with transfer to
hemodialysis,
nutritional support and
steroid therapy. In spite of
intestinal perforation during
surgery, he was successfully treated with enterolysis. Therefore, we
report this case with
review of the
literature.