From abdominal pain to a diagnosis of primary sclerosing encapsulating peritonitis and its management, a case report

2021 ◽  
pp. 1-4
Author(s):  
Margaux Mekann Bouv-Hez ◽  
Aurélie Charissoux ◽  
Stephane Bouvier ◽  
Muriel Mathonnet ◽  
Niki Christou
2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Joseph Wetherell ◽  
Katherine Woolley ◽  
Rishi Chadha ◽  
Julia Kostka ◽  
Edin Adilovic ◽  
...  

Sclerosing encapsulating peritonitis is a rare condition caused by a fibrotic membrane covering the small bowel which may lead to abdominal pain or obstruction. The cause may be primary and idiopathic or secondary to several diseases, treatments, and/or medications. The condition typically presents with bowel obstruction, and only one previous case has described ascites as the presenting sign. Sclerosing encapsulating peritonitis is typically diagnosed intraoperatively. We present a case of a patient who presented with atypical clinical symptoms including respiratory distress, recurrent abdominal ascites, and failure to thrive who was diagnosed nonoperatively.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.


2014 ◽  
Vol 5 (10) ◽  
pp. 735-738 ◽  
Author(s):  
Amer Hashim Al Ani ◽  
Najah Al Zayani ◽  
Mohammad Najmeddine ◽  
Sunitha Jacob ◽  
Sunil Nair

2015 ◽  
Vol 48 (1) ◽  
pp. 56-58 ◽  
Author(s):  
Paula de Castro Menezes Candido ◽  
Andrea de Freitas Werner ◽  
Izabela Machado Flores Pereira ◽  
Breno Assunção Matos ◽  
Rudolf Moreira Pfeilsticker ◽  
...  

Sclerosing encapsulating peritonitis, a rare cause of bowel obstruction, was described as a complication associated with peritoneal dialysis which is much feared because of its severity. The authors report a case where radiological findings in association with clinical symptoms have allowed for a noninvasive diagnosis of sclerosing encapsulating peritonitis, emphasizing the high sensitivity and specificity of computed tomography to demonstrate the characteristic findings of such a condition.


2011 ◽  
Vol 93 (5) ◽  
pp. e39-e40 ◽  
Author(s):  
SJ Fossey ◽  
JNL Simson

This case report documents the presentation and management of a 26-year-old female patient diagnosed with SEP secondary to dermoid cyst rupture. The authors postulate that acute chemical peritonitis secondary to dermoid cyst rupture can develop into SEP resulting in the clinical features depicted in this case report.


2010 ◽  
Vol 42 (2) ◽  
pp. 103-106 ◽  
Author(s):  
G. Al Saied ◽  
A. Z. Hassan ◽  
M. Ossip ◽  
A. Z. Hassan

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