Reversibility of peritoneal calcification in a dialysis patient maintained on hemodialysis and total parenteral nutrition.

A Rare Case of Extensive Eggshell Intestinal Wall Peritoneal Calcification in a Long-Term Continuous Peritoneal Dialysis Patient

“…It refers to patients with symptoms usually including abdominal pain and bloody or cloudy, sterile effluent that was not associated with formal intestinal obstruction/ileus and had a more benign course than that of "classic" EPS. Only 15 cases have been reported in the literature [8][9][10][11][12][13][14][15][16][17][18]. Several factors have been associated with this rare situation, including frequent peritonitis episodes, calcium-phosphate disturbances, extensive use of vitamin D and calcium products, and secondary hyperparathyroidism.…”

Extensive Peritoneal Calcification as a Complication of Long-Term Peritoneal Dialysis and Secondary Hyperparathyroidism: A Case Report and Review of the Literature

“…From the reported cases, it seems that long-term exposure to dialysate, accompanied by peritoneal microinflammation due to peritonitis, and hyperparathyroidism-related high calcium phosphate product lead to extensive peritoneal calcification. The regression of calcification in PCP is also compatible with secondary hyperparathyroidism with ectopic calcification (9,10). Blood-tinged dialysate effluent or hemoperitoneum seems to be the result of distension of the calcification of the peritoneum during PD, but is not the cause with PCP.…”

Peritoneal calcifications in a patient on continuous ambulatory peritoneal dialysis

“…The most common complication is bacterial peritonitis. A rare complication is progressive peritoneal calcification (4, 6).…”

“…They can also have peritoneal bleeding, as in our case. Peritoneal calcifications are reversible when managed with hemodialysis and parenteral nutrition (3, 6)).…”