Idiopathic encapsulating sclerosing peritonitis

Acar, Turan; Kokulu, İbrahim; Acar, Nihan; Tavusbay, Cengiz; Hacıyanlı, Mehmet

doi:10.5152/ucd.2015.2786

Cited by 11 publications

(12 citation statements)

References 7 publications

(3 reference statements)

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“…Furthermore, an aggressive surgical approach may lead to an increased risk of intraoperative enterotomy and subsequent enterocutaneous fistula formation. Medical treatments such as tamoxifen, corticosteroids and other immunosuppressive agents have been reported in the management of SEP [ 9 ]. We report a significant improvement in the patient’s condition with conservative management, consisting of bowel rest and nutritional support.…”

Section: Discussionmentioning

confidence: 99%

An intraoperative diagnosis of sclerosing encapsulating peritonitis: a case report

Sivakumar

Galea

Choi

2020

Journal of Surgical Case Reports

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Primary sclerosing encapsulating peritonitis (SEP) is an idiopathic and rare condition characterized by chronic peritoneal inflammation. We describe the case of an intraoperative diagnosis of SEP, presenting as a mimicker of small bowel obstruction. The patient was a 59-year-old male with suspected small bowel obstruction. On exploratory laparotomy, it was noted that there was thick fibrous tissue involving the visceral and parietal peritoneum enveloping grossly dilated loops of small bowel. This case reports on the histopathological features of peritoneal biopsies as well as radiological findings. There is no consensus regarding the standard management for idiopathic SEP. The present case demonstrates a significant improvement in the patient’s condition with conservative management alone. A critical teaching point is that in the absence of an obvious cause, SEP is a rare but important differential diagnosis for surgeons to consider in the context of recurrent bowel obstruction.

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Section: Discussionmentioning

confidence: 99%

An intraoperative diagnosis of sclerosing encapsulating peritonitis: a case report

Sivakumar

Galea

Choi

2020

Journal of Surgical Case Reports

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“…Inflammatory cells are always present, but leukocyte infiltration is not a must for diagnosis [14]. In the pathogenesis of cocoon formation, It is thought that fibrogenic cytokines are released from fibroblasts trigger neoangiogenesis and peritoneal fibrosis [15,16].…”

Section: Discussionmentioning

confidence: 99%

Case report of a rare cause of intestinal obstruction: Abdominal cocoon syndrome

2020

Ann Clin Anal Med

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“…Histologically, the sac of PE is the crystalloid peritoneum, which is normal, has no fibrosis and no adhesion with the intestine. However, AC often presents with omental dysplasia or absence, and the sac is formed of thickened collagen and fibrous tissue, which may be accompanied by nonspecific chronic inflammation (26,32,33). In addition, AC also needs to be identified with tuberculosis, peritoneal mesothelioma and peritoneal pseudomyxoma (27,32,33).…”

Section: Discussionmentioning

confidence: 99%

Imaging and treatment of idiopathic abdominal cocoon in 9 patients

Rui

Yang

et al. 2019

Exp Ther Med

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The aim of the current study was to investigate the imaging features of abdominal cocoon (AC), the methods of diagnosis and treatment of AC and improve understanding of AC. To do this, the current study retrospectively analyzed the clinical data and imaging findings of nine patients with AC. The clinical manifestations included intestinal obstruction in six out of the nine cases of AC, which included two cases of bowel strangulation and five cases of soft masses in the abdomen. Imaging features of AC included the following: i) Bowel loops were usually present in a fixed cluster; ii) bowel loops were encapsulated partially or totally by a thickening fibrous membrane-like ‘cocoon’; iii) bowel wall thickened in the ‘cocoon’, and the bowel loops and sac adhered; iv) loculated ascites in the ‘cocoon’; v) abnormal clustering of the mesenteric vasculature, hypoplasia of the omentum majus was present or absent; and vi) Ileus occurred in some cases. The features of a plain abdominal X-ray, a gastrointestinal barium meal series and ultrasonography lacked specificity. The results of CT in eight out of nine cases of AC were consistent with the surgical findings. Surgery was the first choice of therapy. All cases were treated surgically, showing that the bowel loops were encapsulated partially or totally by a thickened fibrous membrane. All cases received operations including partial or total excision of the membrane and enterolysis. In conclusion, CT may be highly valuable in the preoperative diagnosis of AC.

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Idiopathic encapsulating sclerosing peritonitis

Cited by 11 publications

References 7 publications

An intraoperative diagnosis of sclerosing encapsulating peritonitis: a case report

An intraoperative diagnosis of sclerosing encapsulating peritonitis: a case report

Case report of a rare cause of intestinal obstruction: Abdominal cocoon syndrome

Imaging and treatment of idiopathic abdominal cocoon in 9 patients

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