Idiopathic Sclerosing Peritonitis in a Man.

Masuda, Chiyohiko; Fujii, Yoshiaki; Kamiya, Toshio; Miyamoto, Matakichi; Nakahara, Katsuhiko; Hattori, Shigehiko; Ohshta, Hisataka; Yokoyama, Takeshi; Yoshida, Hiroyuki; Tsutsumi, Yutaka

doi:10.2169/internalmedicine.32.552

Cited by 27 publications

(12 citation statements)

References 17 publications

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“…No surgical treatment is required in asymptomatic SEP [21] . Surgical complications were reported including intra-abdominal infections, enterocutaneous fistula and perforated bowel [22] . In the present patients, beside repeated adhesiolysis was required in one case, no recurrence and complication were described in post-operative follow-up.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): A report of 5 cases

Chen²,

Li³

2007

WJG

100

115

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Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction that is characterized by a thick grayish-white fibrotic membrane encasing the small bowel. SEP can be classified as idiopathic, also known as abdominal cocoon, or secondary. It is difficult to make a definite pre-operative diagnosis. We experienced five cases of abdominal cocoon, and the case files were reviewed retrospectively for the clinical presentation, operative findings and outcome. All the patients presented with acute, subacute and chronic intestinal obstruction. Computed tomography (CT) showed characteristic findings of small bowel loops congregated to the center of the abdomen encased by a soft-tissue density mantle in four cases. Four cases had an uneventful post-operative period, one case received second adhesiolysis due to persistent ileus. The imaging techniques may facilitate pre-operative diagnosis. Surgery is important in the management of SEP.

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Section: Discussionmentioning

confidence: 99%

Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): A report of 5 cases

Chen²,

Li³

2007

WJG

100

115

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“…Geographically, it tends to be confined to the tropical and subtropical regions. It is generally found exclusively in females, although about 10 cases in adult males have been reported in the literature [6][7][8]. Our case presented an older male Ashkenazi Jewish immigrant from Russia, who had lived in Israel for 15 years.…”

Section: Discussionmentioning

confidence: 94%

Abdominal Cocoon as a Rare Cause of Small Bowel Obstruction in an Elderly Man: Report of a Case and Review of the Literature

et al. 2010

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Abdominal cocoon is a rare cause of intestinal obstruction usually diagnosed incidentally at laparotomy. The cause and pathogenesis of the condition have not been elucidated. It primarily affects adolescent girls living in tropical and subtropical regions. Several earlier cases have been reported in males. We describe an 82-year-old man presenting with small bowel obstruction without history of previous abdominal surgery. He was treated by warfarin following aortic valve replacement. Abdominal cocoon was detected at laparotomy. Excision of membrane and lysis of adhesions led to relief of obstruction. Abdominal cocoon is a rare pathology that may be found in all kinds of populations. It may be a rare form of small bowel obstruction diagnosed during surgery in elderly patients.

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“…Complications of the surgical procedure include intra-abdominal infection, perforated bowel, enterocutaneous fistula, and short bowel syndrome or anastamotic leakage in patients who also undergo bowel resection [28]. Repeated adhenolysis may be required in few patients.…”

Section: Resultsmentioning

confidence: 99%

Idiopathic sclerosing encapsulating peritonitis. Case report and review of literature

2010

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Zusammenfassung. Grundlagen: Die idiopathische sklerosierende Peritonitis (ISP) stellt eine seltene Ursache für Darmobstruktionen dar und ist oft schwer nachzuweisen.Methodik (Fallbericht): Wir berichten über einen 24-jährigen Patienten aus Asien mit den Zeichen eines Dünndarmileus und radiologischem Hinweis für ISP. Durch Laparotomie wurde der Verdacht bestätigt. Die Nachsorge war unauffällig.Ergebnisse und Schlussfolgerungen: ISP ist selten, bei Diagnose ist ein rasches Handeln angezeigt. Eine Literaturübersicht bestätigt diese Empfehlung.Schlüsselwörter: Sklerosierende Peritonitis, Ileus, Darmobstruktion.Summary. Background: Idiopathic sclerosing encapsulating Peritonitis (SEP) has been increasingly recognized as an obscure cause of bowel obstruction. It contrasts the traditional abdominal cocoon condition that afflicts patients on peritoneal dialysis, in that no cause has been elucidated.Methods (case report): We present a case of a 24-year-old south Asian with signs and symptoms of small bowel obstruction. He had similar attacks in the past. Radiographic work up suggested idiopathic SEP. Upon laparotomy, the condition was confirmed and the procedure was completed successfully. No recurrence of the symptoms was detected on follow-up.Results and conclusions: Although rare, SEP management is straightforward once the condition is recognized preoperatively or intraoperatively. A comprehensive review of the literature is presented.

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Idiopathic Sclerosing Peritonitis in a Man.

Cited by 27 publications

References 17 publications

Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): A report of 5 cases

Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): A report of 5 cases

Abdominal Cocoon as a Rare Cause of Small Bowel Obstruction in an Elderly Man: Report of a Case and Review of the Literature

Idiopathic sclerosing encapsulating peritonitis. Case report and review of literature

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