Intestinal Obstruction Due to Idiopathic Sclerosing Encapsulating Peritonitis: A Case Report

Yavuz, Rıdvan; Akbulut, Sami; Babur, Mehmet; Demircan, Fırat

doi:10.5812/ircmj.17(5)2015.21934

Cited by 17 publications

(20 citation statements)

References 10 publications

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“…In the last category of patients, who present with intestinal obstruction complicated by unresolution of the obstruction by conservative measures, perforation, or ischemia, surgical intervention may be inevitable. Different surgical options include adhesiolysis with excision of the membrane and resection and anastomosis [13]. Resection should be avoided except in clearly indicated patients, such as those with bowel ischemia, as it may lead to more complications, such as anastomosis leak and short bowel syndrome, which will increase the morbidity and mortality of the condition [5, 9].…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Obaid

Alhalabi

Ghonami

2017

Case Reports in Surgery

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Sclerosing encapsulating peritonitis (SEP) is a rare disorder that is characterized by encapsulation of bowel loops by thick fibrinogenous case. Most patients present with vague abdominal symptoms. It is challenging to diagnose the condition preoperatively. Surgical management is preserved for patients with small bowel obstruction with no improvement on conservative measures or for those with signs of bowel ischemia (Li et al., 2014; Habib et al. 2011). Herein, we discuss the clinical signs and symptoms, the radiological features, the surgical management, and outcome of SEP based on a patient who underwent surgery in our hospital.

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Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Obaid

Alhalabi

Ghonami

2017

Case Reports in Surgery

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“…The most successful one among these options is reported as peritonectomy + adhesiolysis. 10 Thus, we have applied peritonectomy + adhesiolysis surgery to the patient who had her 4 th relapse.…”

Section: Discussionmentioning

confidence: 99%

Peritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report

Yılmaz¹,

Aydoğan²,

Öner³

2016

Turkiye Klinikleri J Case Rep

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362ncapsulated sclerosing peritonitis, characterized by a statement in which the small bowels are completely wrapped with a fibrous membrane, is a rare small bowel obstruction statement.1-3 Obstructions can be partial or full and this statement can repeat as attacks. 4 Patients often apply to clinic with obstruction symptoms such as abdominal pain, nausea, and vomiting and their radiological findings are usually nonspecific. 5 We will present, in this report, our case who had undergone peritoneal dialysis due to chronic renal failure for 10 years and then was operated for recurrent attacks of sclerosing encapsulated peritonitis. CASE REPORTFifty-three-year-old female patient, was diagnosed with chronic kidney failure 11 years ago and began to undergo peritoneal dialysis. She had bilateral nephrectomy 5 years ago. About 2 years ago when the case applied to an another hospital with complaints of abdominal pain, nausea and vomPeritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report A AB BS S T TR RA AC CT T Encapsulated sclerosing peritonitis is a rare small bowel obstruction statement and usually has nonspecific clinical situations and radiological findings. It is mainly diagnosed intraoperatively. Although many reasons are found to be suspicious in etiology, it is mostly caused by exposure to the peritoneal dialysis. It usually responds to surgical treatment and peritonectomy which is an exhausting choise is the best treatment option. In this report, we will present a 53-year-old case having peritonectomy admitted with recurrent sclerosing encapsulated peritonitis attacks.K Ke ey y W Wo or rd ds s: : Peritonitis; peritoneal dialysis; surgical procedures, operative Ö ÖZ ZE ET T Enkapsüle sklerozan peritonit, genellikle nonspesifik klinik ve radyolojik bulgularla seyreden ve nadir ince barsak obstrüksiyonu yapan bir durumdur. Ana tanı intraoperatif olarak konur. Etyolojide birçok sebep suçlanmasına rağmen, en sık sebep peritoneal diyalize sık maruz kalmak olarak görülmüştür. Genellikle cerrahi tedavi ve peritonektomi en iyi tedavi seçeneğidir. Bu yazımızda, tekrarlayan enkapsüle sklerozan peritonit atakları olan 53 yaşındaki, peritonektomi yaptığımız bir olgumuzu sunacağız.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Peritonit; periton diyalizi; cerrahi işlemler, operasyon T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca as se e R Re ep p 2 20 01 16 6; ;2 24 4( (4 4) ): :3 36 62 2--4 4

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“…It is encountered equally in both genders and presents over a wide age range of ages from young as well as very old with oldest patient reported of 90 years. 5,6,25,26 The hallmark of EPS is the intermittent nature of its presentation. The initial symptoms are usually related to the altered gut motility and transit and altered peritoneal permeability.…”

Section: Clinical Presentationmentioning

confidence: 99%

Abdominal cocoon: An enigmatic entity

Mandavdhare¹

2016

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Abdominal cocoon, variously described as encapsulating peritoneal sclerosis (EPS) or sclerosing encapsulating peritonitis or peritonitis chronica fibrosa incapsulata, represents a syndrome of clinical symptoms related to formation of a fibro-collagenous peritoneal membrane that involves the small intestinal loops. It is the outcome of several different etiologic processes. The major factors associated with development of an abdominal cocoon include continuous ambulatory peritoneal dialysis, tuberculosis, post-renal or liver transplant, use of beta-blockers although a proportion are of idiopathic origin. It is believed that the pathogenesis is driven by epithelial-to-mesenchymal transition of the mesothelial cells. The clinical presentation is related to development of altered gut motility resulting in abdominal pain and features of intestinal obstruction. Surgery is usually required in cases of unremitting intestinal obstruction. Although computed tomography may provide a pre-operative diagnosis, many cases are diagnosed at the time of surgery. Role of conservative therapy using drugs like steroids, tamoxifen, and mechanistic target of rapamycin (mTOR) inhibitors, or antitubercular therapy (in patients with tuberculosis) is uncertain. Early management aimed at the underlying etiological factor may ameliorate the symptoms and halt progression to formation of frank cocoon. Occasionally, conditions like peritoneal carcinomatosis or peritoneal encapsulation may mimic EPS.

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Intestinal Obstruction Due to Idiopathic Sclerosing Encapsulating Peritonitis: A Case Report

Cited by 17 publications

References 10 publications

Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Peritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report

Abdominal cocoon: An enigmatic entity

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