Unusual intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis: a report of two cases and a review.
10.4174/astr.2016.90.4.231
- Author:
Chun Seok YANG
1
;
Daedong KIM
Author Information
1. Department of Surgery, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea. silverpop@hanmail.net
- Publication Type:Case Report
- Keywords:
Intestinal obstruction;
Peritoneal fibrosis;
Encapsulating peritoneal sclerosis;
Laparotomy
- MeSH:
Academic Medical Centers;
Adult;
Daegu;
Diagnosis;
Female;
Humans;
Intestinal Obstruction*;
Intestine, Small;
Laparotomy;
Membranes;
Middle Aged;
Peritoneal Fibrosis;
Peritonitis*;
Recurrence
- From:Annals of Surgical Treatment and Research
2016;90(4):231-234
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction that is characterized by a thick fibrotic membrane encasing the small intestine like a cocoon. Accurate preoperative diagnosis is often difficult. We present 2 cases of SEP that were diagnosed preoperatively by contrast-enhanced computed tomography scan. A 38-year-old man and a 56-year-old woman were admitted to Daegu Catholic University Medical Center because of recurrent intestinal obstruction. We performed exploratory laparotomy with doubt of the preoperative diagnosis of SEP. We confirmed the diagnosis of SEP on laparotomy and performed adhesiolysis. Both patients recovered successfully and had no signs of recurrence. A better awareness of SEP and its radiological features should lead to more correct preoperative diagnosis and result in more appropriate management, including surgery.
