Sclerosing Encapsulating Peritonitis in a Case on Continuous Cyclic Peritoneal Dialysis

Sclerosing encapsulating peritonitis (SEP) is a rare but serious and devastating complication with a very high mortality rate in patients undergoing peritoneal dialysis. We hereby report a 63-year-old female patient diagnosed to have end-stage renal disease (ESRD) on continuous cyclic peritoneal dialysis (CCPD) for 14 years. Owing to ultrafiltration failure, aside from CCPD and daytime dwell, she had twice monthly hemodialysis for 9 years. She presented with persistent bloody dialysate effluent associated with anorexia, poor appetite, nausea, vomiting and progressive body weight loss. Peritoneal dialysis was discontinued and patient was shifted to thrice weekly regular hemodialysis. However, despite nutritional support, patient died eight months later because of severe malnutrition and cachexia. (Acta Nephrologica 2011; 25: 77-80)