Author/Authors :
Cisse, M. M. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Dia, D. Hopital Aristide Le Dantec - Gastroenterology Department, Senegal , Seck, M. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Cisse, M. Hopital Aristide Le Dantec - Surgery Department of Teaching Hospital, Senegal , Ka, E. F. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Gueye, S. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Tall, A. O. L. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Niang, A. Hopital Aristide Le Dantec - Nephrology Department, Senegal , Diouf, B. Hopital Aristide Le Dantec - Nephrology Department, Senegal
Abstract :
Encapsulating peritoneal sclerosis (EPS) is a rare but potentially lethal complication of peritoneal dialysis (PD). Peritoneal tuberculosis is considered an etiologic factor. We report a case of EPS in a 40-year-old man who was switched to hemodialysis because of peritoneal tuberculosis after 2 years of PD. Because of the persistence of gastrointestinal symptoms and cachexia,laparoscopic exploration was performed,which revealed an important thickening of the peritoneal membrane sheathing the intestinal loops. Accordingly,a diagnosis of EPS was made. Anti-tuberculosis treatment associated with a low dose of corticosteroids stabilized the disease.