Annals of Surgical Treatment and Research  2017;92(3):164-167

doi:10.4174/astr.2017.92.3.164

Encapsulating peritoneal sclerosis in liver transplant recipients: a report of 2 cases.

Kyo Won LEE 1 ; Chan Woo CHO ; Nuri LEE ; Sanghoon LEE ; Jong Man KIM ; Gyu Seong CHOI ; Choon Hyuck David KWON ; Jae Won JOH ; Suk Koo LEE

Affiliations

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Keywords

Peritoneal fibrosis; Liver transplantation; Intestinal obstruction

Country

Republic of Korea

Language

English

Abstract

Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction by a thick fibrous membrane wrapping around the small intestine. It is a possible complication after liver transplantation (LT) that can be fatal. This report describes 2 cases of EPS after LT that were successfully treated with surgery, corticosteroids, tamoxifen, and mammalian target of rapamycin inhibitor. After treatment in both cases, the patients were able to start oral feeding and have been symptom free for more than 1 year. These cases suggests that for the management of EPS, surgical treatment is mandatory when the patients present with symptoms of intestinal obstruction or if there are findings suggestive of decreased mural perfusion. Surgery should be accompanied with medical treatment to prevent the relapse of EPS.