A Case of Idiopathic Encapsulating Peritoneal Sclerosis with an Unrecognized Cause

Yoshiro Itatani, Taebum Park, Kazuyuki Kawamoto, Tadashi Ito and Keizo Ogasawara

Department of Surgery, Kurashiki Central Hospital

We report a very rare case of EPS in a patient with no history of CAPD. A 79-year-old man seen for dyspnea and nausea was found in abdominal computed tomography (CT) to have marked gastroduodenal dilation but no obvious obstruction in the gastrointestinal tract, so he was admitted for conservative management of ileus. Despite improvement with a nasogastric tube, he repeated vomiting after starting meals. Although he had no history of countinuous ambulatory peritoneal dialysis (CAPD), his small bowel was encased by a soft-tissue density mantle in abdominal CT, so we conducted laparotomy on suspicion of encapsulating peritoneal sclerosis (EPS). A hard white membrene covered the surface of the peritoneum, so we diagnosed EPS and conducted adhesional lysis from the Treitz ligament to the ascending colon. After surgery, his ileus symptoms disappeared.

Key words
encapsulating peritoneal sclerosis (EPS), without continuous ambulatory peritoneal dialysis (CAPD)

Reprint requests
Yoshiro Itatani Department of Surgery, Kurashiki Central Hospital
1-1-1 Miwa, Kurashiki, 710-8602 JAPAN

Accepted
September 24, 2008

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