Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Obaid, Oday; Alhalabi, Dawood; Ghonami, Mohamed

doi:10.1155/2017/8316147

Cited by 5 publications

(13 citation statements)

References 12 publications

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“…SEP is a chronic form of peritonitis, characterised by the formation of thick sheets of fibrous tissue on the mesothelial lining of abdominal organs . The condition is more common in people and develops secondary to long‐term ambulatory peritoneal dialysis, chronic infection (fungal or bacterial), exposure to asbestos, blunt abdominal trauma, familial Mediterranean fever, therapy with beta‐blockers and/or peritoneovenous or ventriculoperitoneal shunts . Idiopathic forms of the disease are also possible, more commonly seen in adolescent females living in tropical countries .…”

Section: Case Reportmentioning

confidence: 99%

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Pyloric outflow obstruction secondary to sclerosing encapsulating peritonitis in a dog

et al. 2019

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A 6-year-old, male neutered mixed breed dog was presented emergently with a three-week history of hyporexia, vomiting, diarrhoea and weight loss. Upon examination, the patient was dull, had generalised muscle atrophy, moderate abdominal pain and a mild amount of peritoneal effusion. A fluid-filled, distended, corrugated small bowel with marked gastroparesis and moderate peritoneal effusion was noted on abdominal ultrasonography. Endoscopy revealed hyperaemic and friable mucosa and a subjectively narrowed pylorus. Emergency exploratory celiotomy was performed due to worsening patient condition and revealed thick, diffuse, fibrous adhesions of the abdominal cavity. Based on these findings, sclerosing encapsulating peritonitis (SEP) was suspected. A large mass of omentum adjacent to the greater curvature of the stomach had caused a pyloric outflow obstruction. Adhesiolysis was attempted but was unsuccessful due to the friability of the small intestines. The dog was humanely euthanased under anaesthesia. A diagnosis of SEP was confirmed via necropsy. No underlying cause was identified. This is the first known case of a pyloric outflow obstruction secondary to SEP in a dog. Although rare, this condition should be considered as a differential for dogs with signs of a pyloric outflow obstruction with concurrent ascites and abdominal pain, hyporexia, vomiting and diarrhoea.

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Section: Case Reportmentioning

confidence: 99%

“…SEP presents with generalised gastrointestinal signs of nausea, vomiting, abdominal pain and distension. In more chronic stages of the disease, intestinal obstruction and necrosis can also occur . In people, the mortality rate ranges from 19% to 35% and is dependent on the chronicity of disease, and type and duration of treatment …”

Section: Case Reportmentioning

confidence: 99%

Pyloric outflow obstruction secondary to sclerosing encapsulating peritonitis in a dog

et al. 2019

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“…3 The occurrence of encapsulating peritonitis, described as the encapsulation of bowel loops by a thick fibrinogenous case, is even rarer, with only five cases previously described in the medical literature. [3][4][5][6][7][8] Women who present with ascites due to endometriosis often undergo multiple diagnostic procedures, including invasive ones, before the underlying cause for ascites is found. 9 This results in increased patient risks and health care costs.…”

Section: Introductionmentioning

confidence: 99%

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Magalhães

Augusto

Mota

et al. 2018

Rev Bras Ginecol Obstet

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Endometriosis can have several different presentations, including overt ascites and peritonitis; increased awareness can improve diagnostic accuracy and patient outcomes. We aim to provide a systematic review and report a case of endometriosis with this unusual clinical presentation. The PubMed/MEDLINE database was systematically reviewed until October 2016. Women with histologically-proven endometriosis presenting with clinically significant ascites and/or frozen abdomen and/or encapsulating peritonitis were included; those with potentially confounding conditions were excluded. Our search yielded 37 articles describing 42 women, all of reproductive age. Ascites was mostly hemorrhagic, recurrent and not predicted by cancer antigen 125 (CA-125) levels. In turn, dysmenorrhea, dyspareunia and infertility were not consistently reported. The treatment choices and outcomes were different across the studies, and are described in detail. Endometriosis should be a differential diagnosis of massive hemorrhagic ascites in women of reproductive age.

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“…SEP is described in the literature as a chronic whitish collagenous and fibrous thick layer that envelops intra-abdominal organs, mainly the small-bowel [ 2 , 3 ]. It is mainly reported in patients with long-term peritoneal dialysis.…”

Section: Introductionmentioning

confidence: 99%

“…It is mainly reported in patients with long-term peritoneal dialysis. Conservative and surgical management of the condition were both described [ 3 , 4 ]. Depending on the presence or not of an identifiable damage to the integrity of the peritoneal surface, SEP is classified as primary—idiopathic—or secondary.…”

Section: Introductionmentioning

confidence: 99%

Sclerosing encapsulating peritonitis presenting as acute-on-chronic small-bowel obstruction in a patient with history of peritoneal carcinomatosis

Hajjar

Debroux

Richard

et al. 2018

Journal of Surgical Case Reports

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Sclerosing encapsulating peritonitis (SEP) is a whitish fibrous envelope that encapsulates intra-abdominal peritonealized organs. Although it pathophysiology is not well understood, several possible causes have been reported in the literature, including peritoneal dialysis, past abdominal surgeries, peritonitis, beta-blockers and peritoneal carcinomatosis (PC). Some idiopathic cases, with no apparent causes, were described. We present a SEP case in a 43-year-old woman with a surgical history of pancreatic and liver resection for metastatic pseudopapillary pancreatic tumor, followed by several peritonectomies for PC. She was admitted for acute-on-chronic small-bowel obstruction that did not resolve with conservative management. Surgical exploration revealed a fibrous sheath covering the small-bowel. Extensive dissection, along with small-bowel segmental resection and anastomosis, was performed. The specimen was cancer-free. The mechanism through which SEP develops in certain surgical patients is still unknown. This report presents a case of successful surgical management and a review of the literature.

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Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis

Cited by 5 publications

References 12 publications

Pyloric outflow obstruction secondary to sclerosing encapsulating peritonitis in a dog

Pyloric outflow obstruction secondary to sclerosing encapsulating peritonitis in a dog

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Sclerosing encapsulating peritonitis presenting as acute-on-chronic small-bowel obstruction in a patient with history of peritoneal carcinomatosis

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