A Rare Reason of Ileus in Renal Transplant Patients With Peritoneal Dialysis History: Encapsulated Peritoneal Sclerosis.

Abstract

Encapsulating peritoneal sclerosis is a rare complication of long-term peritoneal dialysis ranging from moderate inflammation of peritoneal structures to severe sclerosing peritonitis and encapsulating peritoneal sclerosis. Complicated it, ileus may occur during or after peritoneal dialysis treatment or after kidney transplant. We sought to evaluate 3 posttransplant encapsulating peritoneal sclerosis through clinical presentation, radiologic findings, and outcomes. We analyzed 3 renal transplant patients with symptoms of encapsulating peritoneal sclerosis admitted posttransplant to our hospital with ileus between 2012 and 2013. Conservative treatment was applied to the patients whenever necessary to avoid surgery. One patient improved with medical therapy. Surgical treatment was delayed and we decided it as a last resort, in 2 cases with no response to conservative treatment for a long time. Finally, patients with peritoneal dialysis history should be searched carefully before renal transplant for intermittent bowel obstruction story.

• Authors: Ali Murat Gökçe, Leyla Özel, Sevinç İbişoğlu, Pınar Ata, Gülizar Şahin, Murat Gücün, V Melih Kara, Ebru Özdemir, M İzzet Titiz
• Journal: Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation (Exp Clin Transplant) Vol. 13 Issue 6 Pg. 588-92 (Dec 2015) ISSN: 2146-8427 [Electronic] Turkey
• PMID: 25343532 (Publication Type: Journal Article)

Topics

• Adult
• Female
• Fibrosis
• Humans
• Ileus (etiology)
• Kidney Transplantation
• Middle Aged
• Peritoneal Dialysis (adverse effects)
• Peritoneal Fibrosis (pathology)
• Peritoneum (pathology)
• Postoperative Complications
• Sclerosis