Centro Hospitalar e Universitário de Coimbra, Portugal.
Nefrologia. 2012;32(6):829-34. doi: 10.3265/Nefrologia.pre2012.Jul.11532.
The encapsulating peritoneal sclerosis is a rare but serious complication of peritoneal dialysis. The incident rate varies between 0.5 to 4.4%. This entity is associated with significant morbidity and mortality. The diagnosis requires the presence of clinical features of intestinal obstruction or disturbed gastrointestinal function with pathological and radiological evidence of bowel encapsulation. The exact pathogenic mechanism of EPS remains unknown, although it’s strongest associated with duration of peritoneal dialysis. We present a clinical case of EPS and discuss the clinical manifestations, diagnosis, treatment, prognosis and prevention.
包裹性腹膜硬化症是腹膜透析的一种罕见但严重的并发症。其发生率在 0.5%至 4.4%之间。这种病症与较高的发病率和死亡率相关。诊断需要存在肠梗阻或胃肠道功能紊乱的临床特征，并伴有肠道包裹的病理和影像学证据。尽管 EPS 与腹膜透析时间的关系最为密切，但确切的发病机制尚不清楚。我们报告了一例 EPS 临床病例，并讨论了其临床表现、诊断、治疗、预后和预防。
