Pseudoachalasia of the Esophagus Caused by Encapsulating Peritoneal Sclerosis

• Published in: Peritoneal dialysis international Vol. 30; no. 2; pp. 246 - 249
• Main Authors: FORGACS, Bence, SHIELL, Kate, FARQUHARSON, Finn, TAVAKOLI, Afshin, MAKANJUOLA, David, AUGUSTINE, Titus, PARARAJASINGAM, Ravi
• Format: Journal Article
• Language: English
• Published: Milton, ON Multimed Inc 01-03-2010; Multimed
• Subjects: Adult; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Emergency and intensive care: renal failure. Dialysis management; Esophageal Achalasia - etiology; Female; Humans; Intensive care medicine; Medical sciences; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Peritoneal Fibrosis - complications; Renal failure; Kidney disease; Extrarenal dialysis; Urinary system disease; Renal failure; peritonectomy; Encapsulating peritoneal sclerosis; pseudoachalasia; Peritoneal dialysis; Esophagus
• ISSN: 0896-8608; 1718-4304
• DOI: 10.3747/pdi.2009.00025

Encapsulating peritoneal sclerosis is a severe complication of peritoneal dialysis. Progressive sclerotic thickening of the peritoneum results in tethering and cocooning of the bowel, leading to chronic bowel obstruction, malabsorption, malnutrition, and high mortality. Conservative treatment is often unsuccessful and a surgical enterolysis is required for management. Pseudoachalasia is a rare condition that mimics the clinical and radiological features of achalasia of the cardia. Pseudoachalasia is most commonly caused by infiltrating or metastasizing cancers. In this report, we present a case of pseudoachalasia associated with encapsulating peritoneal sclerosis. The clinical symptoms settled after peritonectomy and enterolysis.