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Abstract

We have transplanted a 14-year-old girl with nephronophthisis in January 1995 who had been on peritoneal dialysis for 3 years. In the last year of dialysis the ultrafiltration rate was decreasing and she needed the high concentration dialysate. Six weeks after successful transplantation (with a creatinine of 75 μmol/l in the enuring 8 months) she developed ascites and a palpable mass in her right lower abdomen. Imaging techniques in the following months revealed the picture of sclerosing peritonitis. The girl experienced several episodes of subileus. The ascites neither showed an infection nor a malignant disease. We have put the girl on total parenteral nutrition. Her graft function remained normal. We wonder if you have any suggestions for an additional treatment. So far we have avoided a laparotomy. We would be very grateful if you could help us to find an appropriate treatment for our patient.