Question 1832
{"accessible":true,"alternatives":[{"id":9101,"text":"encapsulating peritoneal sclerosis"},{"id":9102,"text":"hyperparathyroidism"},{"id":9103,"text":"psammoma bodies "},{"id":9104,"text":"pseudomyxoma peritonei"},{"id":9105,"text":"tuberculous peritonitis"}],"archived":false,"correctAlternativeId":9101,"explanation":"\u003cp\u003eThe selected enhanced CT image demonstrates:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003e\u003cp\u003ethickening with calcifications the peritoneal reflections\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003elocalized fluid collection\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003ebowel wall thickening\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003eencased bowel loops at the center of the abdomen within a calcified visceral peritoneum\u003c/p\u003e\u003c/li\u003e\n\u003cli\u003e\u003cp\u003ebilateral renal atrophy with numerous cortical cysts\u003c/p\u003e\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eEncapsulated peritoneal sclerosis, also known as sclerosing encapsulated peritonitis, may be a complication of peritoneal dialysis. Chronic inflammation leads to thickening with calcification of the peritoneal reflections, forming a calcified cocoon encasing the bowel that may cause acute or subacute\u0026nbsp;small bowel obstruction.\u0026nbsp;\u003c/p\u003e\u003cp\u003ePsammoma bodies are usually seen\u0026nbsp;in malignancy, most frequently\u0026nbsp;cystadenocarcinoma of the ovary with\u0026nbsp;fine sand-like calcification.\u003c/p\u003e\u003cp\u003ePseudomyxoma peritonei often features ring or arc-like calcifications, most numerous in the pelvis.\u003c/p\u003e\u003cp\u003eTuberculous peritonitis has other imaging features such as\u0026nbsp;enlarged hypodense lymph nodes,\u0026nbsp;omental involvement with ‘cake-like’ appearance that would help support this differential.\u003c/p\u003e\u003cp\u003eHyperparathyroidism has a characteristic imaging features, predominantly involving the skeletal system.\u003c/p\u003e","id":1832,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/321/encapsulating-peritoneal-sclerosis-1_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":66354},"imageAttributionCaseInfo":{"title":"Encapsulating peritoneal sclerosis","contributor_name":"Vitalii Rogalskyi","contributor_param":"eleted","case_rid":66354,"case_param":"encapsulating-peritoneal-sclerosis-1"},"firstQuestionPath":"/questions/1832","nextQuestionPath":null,"relatedArticles":[{"id":1477,"title":"Hyperparathyroidism","link":"/articles/hyperparathyroidism?lang=us"},{"id":6158,"title":"Small bowel obstruction","link":"/articles/small-bowel-obstruction?lang=us"},{"id":12600,"title":"Pseudomyxoma peritonei","link":"/articles/pseudomyxoma-peritonei?lang=us"},{"id":1862,"title":"Peritoneal calcification","link":"/articles/peritoneal-calcification?lang=us"},{"id":1928,"title":"Psammoma bodies","link":"/articles/psammoma-bodies?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eA 40-year-old man with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD). which complication has occurred in this patient and shown on this selected enhanced CT image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1832"}],"attemptsPercentages":[{"alternativeId":"9103","percentage":4},{"alternativeId":"9105","percentage":7},{"alternativeId":"9104","percentage":9},{"alternativeId":"9102","percentage":7},{"alternativeId":"9101","percentage":73}],"promptToLogin":false,"questionManager":false,"articleId":"tuberculous-peritonitis"}