Sclerosing Encapsulating Peritonitis: A Rare Cause of Intestinal Obstruction

Yusuf, Mohamed H

doi:10.7759/cureus.15291

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…The formation of a fibrous cocoon and subsequent encapsulation of the bowel follows a second hit, such as cessation of PD or kidney transplantation. 4 Primary SEP, as seen in this case, does not appear to have any definitive causes.…”

mentioning

confidence: 47%

Sclerosing Encapsulating Peritonitis: A Rare Cause of Bowel Obstruction

McCrory

Heard

Roche

2023

The American Surgeon™

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Sclerosing encapsulating peritonitis (SEP), also referred to as abdominal cocoon syndrome, is a rare cause of bowel obstruction characterized by a thickened fibrous peritoneum that encapsulates the intestines. The exact etiology is idiopathic but may be associated with long-term peritoneal dialysis (PD). In the absence of risk factors for adhesive disease, preoperative diagnosis can be difficult and may require operative intervention or advanced imaging to diagnose. Thus, the inclusion of SEP in the differential diagnosis for bowel obstruction is essential for early detection. Existing literature is focused on renal disease as an origin, but it can be multifactorial. Here, we discuss a case of sclerosing encapsulating peritonitis in a patient without known risk factors.

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confidence: 47%

Sclerosing Encapsulating Peritonitis: A Rare Cause of Bowel Obstruction

McCrory

Heard

Roche

2023

The American Surgeon™

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“…We report two cases of abdominal cocoon occurring as a sequela in recovered severe COVID-19, diagnosed in middle-aged individuals with no comorbidities or any known cause of abdominal cocoon and negative RT-PCR on admission. There have been reports of abdominal cocoon formation during the active stage of COVID-19 [ 5 , 6 ], but none as a sequela of COVID-19, and this is the first case report to the best of our knowledge. In a report by Mofti et al [ 5 ], the patient recovered from severe COVID-19, was about to be discharged when he experienced abdominal discomfort associated with nausea and decreased bowel movements, whereas in our case the patient presented with symptoms six months after recovery from severe COVID-19.…”

Section: Discussionmentioning

confidence: 90%

Is Abdominal Cocoon a Sequela in Recovered Cases of Severe COVID-19?

Raheem¹,

Annu²,

Ravula³

et al. 2022

Cureus

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Abdominal cocoon is one of the rare causes of intestinal obstruction mostly diagnosed at the operating table. Its etiology is primarily unknown but can be secondary to known causes. The involvement of the gastrointestinal (GI) system was a common feature during the second wave of COVID-19, and at present, there are reports of GI symptoms in patients who have completely recovered from COVID-19. Abdominal cocoon formation has been reported during the active stage of COVID-19 but not as its sequela. We report two cases with a high degree of suspicion of abdominal cocoon formation in middle-aged individuals with no comorbidities, who recovered from a severe form of COVID-19.

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“…In the present case, surgical management was pursued due to both intestinal obstruction and elevated levels of inflammatory markers. Laparoscopy has both diagnostic and therapeutic purposes; technically, it is a real therapeutic challenge in patients with an advanced abdominal cocoon [ 12 ].…”

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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Sclerosing Encapsulating Peritonitis: A Rare Cause of Intestinal Obstruction

Cited by 5 publications

References 11 publications

Sclerosing Encapsulating Peritonitis: A Rare Cause of Bowel Obstruction

Sclerosing Encapsulating Peritonitis: A Rare Cause of Bowel Obstruction

Is Abdominal Cocoon a Sequela in Recovered Cases of Severe COVID-19?

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

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