Sclerosing encapsulating peritonitis: three case reports and review of the literature

Zhang, Zhenbin; Zhang, Menglai; Li, Ling

doi:10.1177/0300060520949104

Cited by 11 publications

(18 citation statements)

References 14 publications

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“…[ 2 ] Because of the lack of specificity in the early clinical manifestations, preoperative diagnosis of SEP is difficult. [ 46 ] A high index of clinical suspicion is mandatory. Apart from patient’s history and clinical presentation, imaging techniques play an important role in diagnosis of SEP. Diffuse air-fluid levels and dilated small intestine loops may be seen on abdominal X-rays.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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Background: Abdominal cocoon or sclerosing encapsulating peritonitis is an uncommon condition in which the small bowel is completely or partially encased by a thick fibrotic membrane. Our study presents a case of sclerosing encapsulating peritonitis and conducts a literature review.Methods: A bibliographic research was conducted. Our research comprised 97 articles. Gender, age, symptoms, diagnostic procedures, and treatment were all included in the database of patient characteristics.Case presentation: A 51-year-old man complaining of a 2-day history of minor diffuse abdominal pain, loss of appetite, and constipation was presented in emergency department. Physical examination was indicative of intestinal obstruction. Laboratory tests were normal. Diffuse intraperitoneal fluid and dilated small intestinal loops were discovered on computed tomography (CT). An exploratory laparotomy was recommended, in which the sac membrane was removed and adhesiolysis was performed. He was discharged on the tenth postoperative day.Results: There were 240 cases of abdominal cocoon syndrome in total. In terms of gender, 151 of 240 (62.9%) were male and 89 of 240 (37%) were female. Ages between 20 and 40 are most affected. Symptoms include abdominal pain and obstruction signs. For the diagnosis of abdominal cocoon syndrome, CT may be the gold standard imaging method. The surgical operation was the treatment of choice in the vast majority of cases (96.7%). Only 69 of 239 patients (28.9%) were detected prior to surgery, and CT was applied in these cases. Conclusion:Abdominal cocoon is a rare condition marked by recurrent episodes of intestinal obstruction. Surgical therapy is the most effective treatment option.

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Section: Discussionmentioning

confidence: 99%

“…[2] Because of the lack of specificity in the early clinical manifestations, preoperative diagnosis of SEP is difficult. [46] A high index of clinical suspicion is mandatory.…”

Section: Diagnosismentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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“…As in the present case, the imaging appearance of SEP is visualized as the central accumulation of the small bowel encased by a thin membrane and loculated fluid collections. Other lesions such as ascites, intestinal obstruction, abdominal calcifications, and lymphadenopathy may be present [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Sclerosing Encapsulating Peritonitis: Solving the Diagnosis Challenge of a Rare Entity

Rahali,

Aboulfath,

Njoumi

et al. 2023

Case Reports in Surgery

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Sclerosing encapsulating peritonitis (SEP) is an unusual fibroinflammatory disease of the peritoneum marked by the development of a fibrous membrane enveloping generally the small intestines. The knowledge around this subject is not completely understood. And the etiology can be either idiopathic or secondary to several diseases, treatments, and/or medications. We present a case of a 52-year-old man suffering from atypical clinical symptoms including recurrent abdominal ascites and intestinal obstruction. An abdominal computed tomography showed findings typical of SEP. Therefore, the patient benefited from exploratory laparotomy, which confirmed the diagnosis of idiopathic SEP. Postoperatively, he again had an episode of bowel obstruction, but this was controlled with steroids. Diagnosis of SEP is a real challenge to surgeons, gastroenterologists, and radiologists. And imagery is very helpful to make the diagnosis. Consequently, it is imperative that all hospital practitioners should distinguish between this lesion and other etiology of acute peritonitis.

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“…The aforementioned theories are well supported by recent studies speculating on the diversity of the biochemical and metabolic profiles of the peritoneal fluid in patients with endometriosis. More specifically, according to Polak et al, the hemoglobin levels in the peritoneal fluid of patients with endometriosis were significantly elevated compared to both controls and women with ovarian cysts, while, interestingly, antioxidant parameters were significantly lower in patients with endometriosis, creating an oxidative intraperitoneal environment [56][57][58].…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature

Pandraklakis¹,

Prodromidou²,

Haidopoulos³

et al. 2022

Cureus

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The presence of ascites is a common clinical presentation in gynecologic oncology patients. Hemorrhagic ascites (HA) due to endometriosis is a rare presentation that can be easily misdiagnosed as ovarian malignancies. The present study aims to update the currently available knowledge on the characteristics of patients presenting with HA due to endometriosis.A systematic search was conducted for articles published from January 2000 to July 2020 using the Medline, Scopus, and Google Scholar databases along with the references of the full-text articles retrieved. Papers describing cases of women over 18 years with or without previous history of endometriosis were assessed. Only cases with histologically proven hemorrhagic ascites of endometriosis origin were included.Twenty-nine studies (27 case reports and two case series) comprising 32 patients were evaluated. The mean patients' age was 32 years, while six of the patients had a previous history of endometriosis. The mean amount of drained ascitic fluid was 4,200 mL, whereas three patients underwent thoracentesis due to pleural effusions. The treatment options included not only medical but also surgical therapies. Fertility preservation was achieved in 27 patients, while two of them achieved pregnancy with in vitro fertilization (IVF) techniques.Endometriosis-related hemorrhagic ascites is a relatively rare expression of the disease. Endometriosisrelated hemorrhagic ascites should be considered in the differential diagnosis (DD) of women with ascites and clinical suspicion of endometriosis. The available literature is limited to case reports and case series and thus indicates further research in the field to decode the pathophysiology of the disease and decide on the optimal treatment.

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Sclerosing encapsulating peritonitis: three case reports and review of the literature

Cited by 11 publications

References 14 publications

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Sclerosing Encapsulating Peritonitis: Solving the Diagnosis Challenge of a Rare Entity

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature

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