Unusual intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis: a report of two cases and a review
Annals of Surgical Treatment and Research
;
: 231-234, 2016.
Article
in English
| WPRIM
| ID: wpr-39570
ABSTRACT
Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction that is characterized by a thick fibrotic membrane encasing the small intestine like a cocoon. Accurate preoperative diagnosis is often difficult. We present 2 cases of SEP that were diagnosed preoperatively by contrast-enhanced computed tomography scan. A 38-year-old man and a 56-year-old woman were admitted to Daegu Catholic University Medical Center because of recurrent intestinal obstruction. We performed exploratory laparotomy with doubt of the preoperative diagnosis of SEP. We confirmed the diagnosis of SEP on laparotomy and performed adhesiolysis. Both patients recovered successfully and had no signs of recurrence. A better awareness of SEP and its radiological features should lead to more correct preoperative diagnosis and result in more appropriate management, including surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Recurrence
/
Diagnosis
/
Academic Medical Centers
/
Peritoneal Fibrosis
/
Intestinal Obstruction
/
Intestine, Small
/
Laparotomy
/
Membranes
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2016
Type:
Article
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