Sclerosing peritonitis

  • Encapsulating peritoneal sclerosis
  • Rare, chronic inflammation of peritoneum
  • Seen in patients undergoing continuous ambulatory peritoneal dialysis
  • Rare causes: abdominal TB, recurrent peritonitis, ventriculo-peritoneal shunts, long term beta blocker treatment, sarcoidosis
  • Asymptomatic or have nausea, anorexia, malnutrition, weight-loss, recurrent small bowel obstruction
  • CT: ideal. Smooth or irregular nodular peritoneal thickening with calcification. Marked enhancement of peritoneum. Features of intestinal fixation or obstruction. Loculated fluid collections. Tethered, thick walled small bowel loops
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Demir, Mustafa Kemal, et al. “Case 108: sclerosing encapsulating peritonitis.” Radiology 242.3 (2007): 937-939.

George, Verghese, et al. “Chronic fibrosing conditions in abdominal imaging.” Radiographics 33.4 (2013): 1053-1080.