Encapsulating peritoneal sclerosis

Discussion:

Encapsulating peritoneal sclerosis may be a complication of peritoneal dialysis. Chronic inflammation leads to thickening and calcification of the peritoneum, forming a calcified cocoon encasing the bowel and leading to subacute bowel obstruction. There are features here that make it a great exam film:

  1. the cause of renal failure: diabetes leading to extensive arterial calcification
  2. the previous treatment for the renal failure was peritoneal dialysis, leading to the calcification
  3. the most recent treatment is a transplant, evidenced by the surgical clips in the left iliac fossa
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