An emerging and devastating acute abdomen in a patient under peritoneal dialysis: encapsulating peritoneal sclerosis
Hsin-Chi Lin
,x
, MDHsin-Chi Lin
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- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Chien-Chih Chen
,x
, MD, MSChien-Chih Chen
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- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
- School of Medicine, Fu Jen Catholic University, Taipei 242, Taiwan
Tzong-Luen Wang
,x
, MD, PhDTzong-Luen Wang
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- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
- School of Medicine, Fu Jen Catholic University, Taipei 242, Taiwan
Chee-Fah Chong
,x
, MD, MSChee-Fah Chong
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- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
- School of Medicine, Fu Jen Catholic University, Taipei 242, Taiwan
Ruei-Fang Wang

x
, MDRuei-Fang Wang
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Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Correspondence
- Corresponding author. Tel.: +886 2 28332211x2087; fax: +886 2 28353547.

x
Ruei-Fang Wang
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Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan
Correspondence
- Corresponding author. Tel.: +886 2 28332211x2087; fax: +886 2 28353547.

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Fig. 1
A standing abdominal plain film showing multiple linear calcifications and air-fluid levels.
Fig. 2
An enhanced abdominal CT showing calcifications along some of the small bowel loops, mesentery and peritoneal membrane, submucosal edema.
Peritoneal dialysis (PD) has been applied to patients with end-stage renal disease for more than 2 decades. It should raise physicians' concern about the serious complications of prolonged PD therapy, particularly encapsulating peritoneal sclerosis (EPS), the most potentially life-threatening one. The prevalence and mortality rate of EPS increase as PD duration increases [1]. We report a case of EPS presented with blood-tinged effluents and abdominal pain.
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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