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Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy
Won Na Suh1, Sang Kil Lee, Hyun Chang
1Division of Gastroenterology, Department of Internal Medicine, Institute of Gastroenterology Surgery and Pathology, Yonsei University College of Medicine, Seoul, Korea.
The Korean Journal of Internal Medicine
|July 10, 2007
Summary
Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction. Surgical intervention for this abdominal cocoon condition proved effective in a patient with a history of hysterectomy.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing encapsulating peritonitis (SEP) is an uncommon condition leading to small bowel obstruction.
- The etiology of primary (idiopathic) SEP remains unclear, though recurrent peritonitis is a known factor in secondary SEP.
Observation:
- A 40-year-old woman presented with abdominal pain and distension.
- Imaging revealed a sclerotic capsule encapsulating the small bowel.
- Laparotomy confirmed a thick fibrous capsule encasing the small bowel loops.
Findings:
- Surgical adhesiolysis and capsular removal were performed.
- The patient experienced an uneventful recovery and was discharged without complications.
Implications:
- This case highlights surgical treatment as an effective option for abdominal cocoon syndrome.
- Further research into the pathogenesis of primary SEP is warranted.
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