Abdominal Cocoon or Encapsulating Peritoneal Sclerosis: A Rare Cause of Small Bowel Obstruction

Lasheen, Omar; Elkorety, Mohamed

doi:10.12890/2020_001972

Cited by 8 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…association with congenital fetal dysplasia, vascular anomalies, or the influence of cytokines and fibroblasts in chronic peritoneal fibrosis processes, such as cases of viral infection due to retrograde menstruation and retrograde peritonitis through the uterine tubes 1,6,10,16 . However, about 75% of cases of idiopathic SEP occur in individuals without these conditions, contradicting such claims 5,9,17 . Primary SEP can be categorized into 3 types, based on the extent of the encapsulating membrane: type 1 abdominal cocoon in which there is partial trapping of the intestinal loops; type 2 abdominal cocoon when the membrane completely traps the loops; and type 3 abdominal cocoon when the trapping extends to cover all intra-abdominal organs such as appendix, cecum, colon, and ovaries 5,18 .…”

Section: Discussionmentioning

confidence: 99%

Idiopatic Sclerosing Encapsulating Peritonitis

Pedro Carvalho,

Lousado Almeida,

Duran Barretto

et al. 2023

Relatos Casos Cir.

View full text Add to dashboard Cite

Introduction: Sclerosing Encapsulating Peritonitis (SEP) is a rare syndrome characterized by a chronic inflammatory process that leads to the formation of a thick fibrocollagenous membrane that surrounds and entraps intra-abdominal organs. As a result, although some cases may be asymptomatic, patients commonly develop symptoms of intestinal obstruction, and the diagnosis is often made incidentally during intra-abdominal surgeries. Case report: A 37-year-old male patient, a chronic alcoholic, was admitted with severe abdominal pain for seven days associated with abdominal distension, anorexia, and fever. Abdominal examination revealed signs of peritoneal irritation. Chest X-ray and abdominal computed tomography showed pneumoperitoneum and a large fluid collection, with signs of wall thickening extending through the pelvic cavity, parietocolic gutters, anterior abdominal cavity, and hepatodiaphragmatic space, causing compression of the hepatic parenchyma and displacement of intestinal loops. Due to these findings, the patient underwent an emergency exploratory laparotomy, in which a fibrocollagenous membrane, extensive bowel obstruction, and an abscess were identified. A total of 4.5 liters of purulent secretion were drained, the fibrous membrane was excised, the abdominal cavity was copiously washed, and a drain was placed in the upper right quadrant. He had a satisfactory resolution of the condition, without postoperative complications, and was discharged 11 days after the procedure. Conclusion: Initially, conservative management should be prioritized due to the technical difficulty of surgery and possible complications. However, in case of greater the level of peritoneal involvement and tissue adhesion, there is a higher chance of failure of conservative management, and surgical intervention may become necessary. Keywords: Peritonitis. Fibrosis Peritoneal. Intestinal Obstruction.

show abstract

Section: Discussionmentioning

confidence: 99%

Idiopatic Sclerosing Encapsulating Peritonitis

Pedro Carvalho,

Lousado Almeida,

Duran Barretto

et al. 2023

Relatos Casos Cir.

View full text Add to dashboard Cite

show abstract

“…12 Other underlying causes included peritoneal shunts, tuberculosis, malignancy, systemic lupus erythematosus, sarcoidosis, and Mediterranean fever. 11,13 The histopathology of CPE is normal peritoneal, but the histopathology of AC and SEP differ. In AC and SPE, the mechanism is the formation of a thick fibrotic membrane due to inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…20% of cases with peritoneal dialysis are expected to be developed into SPE after 8 years 12 . Other underlying causes included peritoneal shunts, tuberculosis, malignancy, systemic lupus erythematosus, sarcoidosis, and Mediterranean fever 11,13 …”

Section: Discussionmentioning

confidence: 99%

Chronic constipation and acute small bowel obstruction due to small bowel encapsulation: A case report

Hajimirzaei,

Abbasi,

Alamdari

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessagePeritoneal encapsulation is most of the time asymptomatic and is found incidentally, but when symptomatic it usually presents with bowel obstruction. CT scan is a gold standard for the diagnosis of bowel encapsulation.AbstractCongenital peritoneal encapsulation (CPE), abdominal cocoon syndrome (ACS), and sclerosing encapsulating peritonitis (SEP) are syndromes in which the small bowel is encapsulated. Small bowel encapsulation is usually asymptomatic and rarely presents with small bowel obstruction. In this article, we report a 65‐year‐old man who presented to our hospital with signs and symptoms of small bowel obstruction. He underwent an urgent operation, and small bowel encapsulation was diagnosed. One year after the surgery, all symptoms improved.

show abstract

“…In this research, patients in the observation group had dramatically shorter clinical symptom improvement times than the control group after the implementation of nursing measures for the transnasally inserted intestinal obstruction catheter, indicating that the successful implementation of the nursing strategy adopted in this research can effectively improve the recovery of ASBO patients. Combining previous studies with our clinical experience, we summarized common problems in ASBO patients admitted to the hospital for transnasally inserted intestinal obstruction catheterization [22][23][24][25][26] and developed targeted nursing measures for these conditions.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Qian

Yan

2022

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objective. To explore the placement priorities and analysis of nursing countermeasures of transnasally inserted intestinal obstruction catheters in patients with acute small bowel obstruction (ASBO). Methods. One hundred and three patients with ASBO treated in our hospital from May 2016 to February 2022 were enrolled to this study. Patients who received individual nursing for transnasally inserted intestinal obstruction catheters were considered as the observation group (n = 59) and those who received traditional nursing were regarded as the control group (n = 44). The symptom relief time, daily gastrointestinal decompression, bowel sound recovery time, exhaust, defecation recovery time, and gas-liquid plane disappearance time were compared between both groups. The abdominal pain was evaluated by visual analogue scale (VAS), and the psychology of patients was evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Patients’ clinical efficacy and incidence of adverse effects were counted, and quality of life was assessed using the short form 36 (SF-36) health survey questionnaire. Results. In the observation group, the improvement time of clinical symptoms and VAS, SAS, and SDS scores after intubation were lower than those of the control group, while the total clinical treatment efficiency was higher ( P < 0.05 ). As to the adverse effects, the observation group was lower than the control group ( P < 0.05 ). Also, the SF-36 scores were higher than those of the control group in all dimensions ( P < 0.05 ). Conclusion. The individual nursing strategy implemented for the transnasally inserted intestinal obstruction catheter can effectively shorten the recovery of ASBO patients and improve their treatment outcome and prognosis quality of life.

show abstract

Abdominal Cocoon or Encapsulating Peritoneal Sclerosis: A Rare Cause of Small Bowel Obstruction

Cited by 8 publications

References 10 publications

Idiopatic Sclerosing Encapsulating Peritonitis

Idiopatic Sclerosing Encapsulating Peritonitis

Chronic constipation and acute small bowel obstruction due to small bowel encapsulation: A case report

Analysis of Placement Priorities and Nursing Countermeasures of Transnasally Inserted Intestinal Obstruction Catheters in Patients with Acute Small Bowel Obstruction

Contact Info

Product

Resources

About