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A case of encapsulating peritoneal sclerosis presented shortly after renal transplantation

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Abstract

Encapsulating peritoneal sclerosis (EPS) is a rare but serious complication of peritoneal dialysis (PD), characterized by extensive intraperitoneal fibrosis and encasement of bowel loops. It typically associates with long-term PD and progressive loss of ultrafiltration. The management of EPS has evolved substantially from the original report of this entity and now includes immunosuppressive agents, antifibrotic agents, nutritional support, and surgical intervention. Although the exact cause of this condition remains obscure and despite the possible positive effect of immunosuppression on EPS, it has been described in the post-transplant setting upon the discontinuation of PD. We report such a case of a former PD patient who presented with EPS a month after renal transplantation. This article will highlight the current views regarding the management of post-transplant EPS and introduce the problem of long-term PD patients on the deceased-donor transplant waiting list.

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Conflict of interest

All the authors have declared no competing interest.

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Authors and Affiliations

  1. Department of Nephrology, University Hospital of Ioannina, Ioannina, Greece

    Georgios Spanos, Evangelia Dounousi, Haralampos Pappas & Kostas C. Siamopoulos

  2. Department of General Surgery and Transplantation, University Hospital of Ioannina, Ioannina, Greece

    Haralampos V. Harissis, Michalis Mitsis, Georgios K. Georgiou & Michalis Fatouros

Authors
  1. Georgios Spanos
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  2. Haralampos V. Harissis
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  3. Evangelia Dounousi
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  4. Michalis Mitsis
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  5. Haralampos Pappas
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  6. Georgios K. Georgiou
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  7. Kostas C. Siamopoulos
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  8. Michalis Fatouros
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Corresponding author

Correspondence to Georgios Spanos.

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Spanos, G., Harissis, H.V., Dounousi, E. et al. A case of encapsulating peritoneal sclerosis presented shortly after renal transplantation. CEN Case Rep 3, 40–43 (2014). https://doi.org/10.1007/s13730-013-0079-9

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  • DOI: https://doi.org/10.1007/s13730-013-0079-9

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