Tuberculous abdominal cocoon as a rare variant of peritonitis

Плоткин, Д. В.; Reshetnikov, M. N.; Харитонов, С. В.; Sokolina, Irina; Pryadkin, A A; Синицын, М. В.

doi:10.17116/hirurgia202006124

Cited by 1 publication

(1 citation statement)

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“…[ 18 ] The present literature review also confirms this point. The retrospective analysis suggested that cytoreductive surgery and hyperthermic intraperitoneal chemotherapy are the potential causes of secondary SEP. [ 8 ] In addition, SEP is also associated with many diseases, and multiple studies have shown that tuberculosis is an important pathogenic factor for SEP. [ 10 , 13 ] SEP can also occur as rare complications of several diseases, such as hepatitis virus C infection, peritonitis and ascites, severe malnutrition, and so on. Studies have shown that idiopathic SEP occurs most frequently in tropical and subtropical countries, such as China, Malaysia, Singapore, India, Nigeria, Kenya, and South Africa, and idiopathic SEP is twice as common in men, when compared to women.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing encapsulating peritonitis presenting with paroxysmal abdominal pain and strangulated mechanical bowel obstruction

Tang

Xiao

et al. 2021

Medicine

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Rationale: Sclerosing encapsulated peritonitis (SEP) is a rare chronic peritoneal inflammation with unknown etiology, and is also known as abdominal cocoon. This occurs when the intestinal annulus is enveloped in the peritoneal cavity, resulting in intestinal obstruction. Its preoperative diagnosis and treatment strategy remains a challenge. Patient concerns: The study reports a 53-year-old male, who presented with a 4-day history of paroxysmal abdominal pain, without the adverse reaction of nausea, vomiting, or diarrhea. Diagnosis: The accurate diagnosis of SEP was made after the emergency diagnostic laparoscopy. Interventions: The laparoscopic exploration revealed that the small intestine was wrapped by a layer of peritoneum. Then, the abdominal fibrous membrane was removed surgically, and adhesiolysis were performed. The patient recovered well, and gradually recovered by the 10th post-operative day. Outcomes: The patient was discharged uneventfully after 10 days, and the patient recovered well. After the 12-month follow-up, no symptoms of recurrence or complications were observed. Lessons: The preoperative diagnosis of SEP remains difficult, and the onset of SEP has exhibited a younger trend. The diagnosis of SEP should remain on the list of differential diagnosis for paroxysmal abdominal pain. single-photon emission computed tomography/computed tomography and laparoscopic exploration have been proven to be helpful for establishing the diagnosis. In the early stage of intestinal obstruction caused by SEP, surgical intervention was immediately carried out in emergency department, and the patient recovered well after the operation. The present study also presents a review of the literature for other cases of SEP. The external evidence was helpful in making clinical decisions for patient care.

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