article = {RDI-2020-1-104}
title = {Encapsulating Peritoneal Sclerosis (EPS): Analysis of Current Knowledge in the Literature and Observation of a Suspect Case}
journal = {Radiology and Medical Diagnostic Imaging}
year = {2020}
issn = {2613-7836}
doi = {http://dx.doi.org/10.31487/j.RDI.2020.01.04}
url = {https://www.sciencerepository.org/encapsulating-peritoneal-sclerosis_RDI-2020-1-104 
author = {Fabbri Nicolò,S. Ferro ,}
keywords = {Peritoneal dialysis, encapsulating peritoneal sclerosis, cocoon syndrome}
abstract ={Among the medical complications of long-lasting Peritoneal Dialysis (PD) a particular pathology has been
observed, the so-called Encapsulating Peritoneal Sclerosis (EPS). The main properties of the pathological
process of EPS is represented by proliferative fibrosis and sclerosis of the peritoneum, which lead to the
formation of the typical "cocoon" and obstruction. Since glucose, Advanced Glycation End products
(AGEs), and Glucose Degradation Products (GDPs), are responsible for peritoneum fibrosis and sclerosis,
biocompatible peritoneal dialysis solutions are recommended, with reduced quantities of AGEs and GDPs.
Furthermore, careful monitoring of the patients is very important, especially after 5-8 years of PD. We
performed an overview of the current literature available and discuss a “suspect” case of a 59-year-old male
patient who underwent a single kidney transplant after a period of 8 year of peritoneal dialysis with
numerous sub occlusive episodes, some of them required hospitalizations in a period between 2011 and
2019. Patient underwent to several radiologic exams for a suspect of a cocoon syndrome.
}