Sclerosing Encapsulating Peritonitis (Cocoon Bowel) Presenting after Laparotomy for Splenic Abscess

Caldwell, Jason Christopher; Dyer, Andrew

doi:10.3941/jrcr.v7i10.1508

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…They suggested that persistent low-grade peritonitis, such as SBP, might be a risk factor for SEP in patients with LC. Furthermore, Caldwell and Dyer[ 5 ] reported a case of SEP caused by complication after splenectomy in LC patients with SBP. They suggested that abdominal surgery might be a mechanical irritation that triggered SEP development.…”

Section: Discussionmentioning

confidence: 99%

A rare case of intestinal obstruction: Sclerosing encapsulating peritonitis of unknown cause

Kang

2020

Turk J Emerg Med

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Sclerosing encapsulating peritonitis (SEP) is characterized by the partial or complete enclosing of the small intestines by a thick fibro-collagenous membrane, which can cause recurrent intestinal obstruction. SEP is a clinically rare disease, and the major risk factor is peritoneal dialysis (PD). Early diagnosis of SEP is an important factor in the patient's prognosis, but it is clinically difficult. A 52-year-old woman visited the emergency department (ED) with a 2-day history of abdominal pain and vomiting. She had a history of liver cirrhosis with chronic hepatitis B, but no history of PD, and she underwent a biopsy of the peritoneum by laparoscopy a month ago. On physical examination, there were peritoneal irritation signs on the right lower quadrant (RLQ). Abdominal computed tomography (CT) showed dilated small intestinal loops clustered in the RLQ, which were surrounded by a sac-like, thick fibrous membrane. Based on CT findings, small intestinal obstruction due to SEP was early diagnosed in the ED. Emergency physicians should include SEP in the differential diagnosis of the cause of intestinal obstruction. Abdominal CT is a useful modality for the early diagnosis of SEP in the ED.

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Section: Discussionmentioning

confidence: 99%

A rare case of intestinal obstruction: Sclerosing encapsulating peritonitis of unknown cause

Kang

2020

Turk J Emerg Med

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Abdominal cocoon: idiopathic sclerosing encapsulating peritonitis

Frost

Price

2015

BMJ Case Reports

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SUMMARYAbdominal cocoon, or idiopathic sclerosing encapsulating peritonitis, is a rare condition characterised by the presence of a dense fibrocollagenous membrane partially or totally encapsulating the small bowel leading to recurrent intestinal obstructions. We present the case of a patient who has presented for the fourth time with a small bowel obstruction. Previous laparoscopy revealed a plaque-like reactive process encapsulating much of the small bowel and the liver. After initial adhesiolysis, the patient's obstructions continued to reoccur. Further laparotomy was performed in order to excise the entirety of the cocoon membrane and free up loops of small bowel encapsulated by the process, hopefully preventing future obstructions. BACKGROUND

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A hemodialysis patient with dialysis-related amyloidosis that mainly affected the digestive tract and encapsulating peritoneal sclerosis at autopsy: a case study

Nakajima

Tadachi

Maita

et al. 2020

Nihon Toseki Igakkai Zasshi

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Sclerosing Encapsulating Peritonitis (Cocoon Bowel) Presenting after Laparotomy for Splenic Abscess

Cited by 3 publications

References 15 publications

A rare case of intestinal obstruction: Sclerosing encapsulating peritonitis of unknown cause

A rare case of intestinal obstruction: Sclerosing encapsulating peritonitis of unknown cause

Abdominal cocoon: idiopathic sclerosing encapsulating peritonitis

A hemodialysis patient with dialysis-related amyloidosis that mainly affected the digestive tract and encapsulating peritoneal sclerosis at autopsy: a case study

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