Sclerosing Encapsulating Peritonitis (Abdominal Cocoon) after Abdominal Hysterectomy.
10.3904/kjim.2007.22.2.125
- Author:
Won Na SUH
1
;
Sang Kil LEE
;
Hyun CHANG
;
Hye Jin HWANG
;
Woo Jin HYUNG
;
Young Nyun PARK
;
Tae Il KIM
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. taeilkim@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Sclerosing encapsulating peritonitis;
Abdominal cocoon;
Small bowel obstruction;
Abdominal hysterectomy
- MeSH:
Adult;
Female;
Humans;
Hysterectomy/*adverse effects;
Intestinal Obstruction/diagnosis/*etiology;
Intestine, Small/*pathology;
Peritonitis/diagnosis/*etiology/surgery;
Sclerosis/*pathology
- From:The Korean Journal of Internal Medicine
2007;22(2):125-129
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sclerosing encapsulating peritonitis (SEP) is a poorly understood and rarely documented cause of small bowel obstruction. Although recurrent peritonitis has been reported as the main contributory factor leading to secondary SEP, the pathogenesis of primary (idiopathic) SEP is still uncertain. A 40-year-old woman with a history of total abdominal hysterectomy due to gestational trophoblastic disease presented with progressive lower abdominal pain and abdominal distension. Ultrasonography and contrast-enhanced abdomen-pelvis computed tomography of the abdomen revealed encapsulation of the entire small bowel with a sclerotic capsule. At laparotomy, a fibrous thick capsule encasing small bowel loops was revealed. Extensive adhesiolysis and removal of the capsule from the bowel loops were performed. The patient recovered uneventfully; she was discharged without complications. SEP is a rare cause of small bowel obstruction. We treated a case of abdominal cocoon with intestinal partial obstruction in a woman with a history of abdominal hysterectomy due to gestational trophoblastic disease. Surgical treatment was effective and the patient recovered without complication.
