| Summary points: | A 43-year-old male with end-stage renal disease presents with diarrhoea, poor appetite, and diffuse abdominal tenderness. Laboratory tests, radiography, ultrasonography, computed tomography, and magnetic resonance imaging are described; images provided. The authors discuss the need for a high index of suspicion in cases of encapsulating peritoneal sclerosis, since early diagnosis is a decisive factor for survival. |