Chronic abdominal pain in a patient on maintenance peritoneal dialysis.

Encapsulating peritoneal sclerosis (EPS) is an uncommon but one of the most serious complications in patients on long-term peritoneal dialysis (PD). The diffuse thickening and sclerosis of the peritoneal membrane that characterizes EPS leads to decreased ultrafiltration and ultimately to bowel obstruction. Given that the prognosis of established EPS is poor, early recognition of the preceding symptoms is essential. Computed tomography of the abdomen is a reliable and noninvasive diagnostic tool. Typical computed tomography features of EPS include peritoneal calcification, bowel wall thickening, peritoneal thickening, loculated fluid collections, and tethered bowel loops. These findings are diagnostic of EPS in the appropriate clinical setting. Here we present a case report of chronic abdominal pain in a patient on maintenance PD representing a case of EPS.