Encapsulating peritoneal sclerosis presenting as acute limb ischemia.

摘要

Encapsulating peritoneal, sclerosis (EPS) is a potentially life-threatening complication of peritoneal dialysis (PD) that is being increasingly recognized (1). EPS can present insidiously with nonspecific weight loss,abdominal discomfort, inflammation, and malnutrition orfulminantly with obstruction, peritonitis, gastrointes-tinalfailure, and death (2). Here we describe the case of a patient with a 6-year history of PD who presented with acute leg ischemia secondary to severe EPS. To our knowledge, this is the first EPS case in the literature to present primarily with vascular compromise.