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Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization

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A problem encapsulated - role of CT.

Anuj Mishra¹, Elhousieni Mabrouk, Ali Ferjani

¹Department of Radiology, National Organ Transplant Program, Central Hospital, Tripoli, Libya.

The Libyan Journal of Medicine

|April 13, 2011

Summary

This summary is machine-generated.

Sclerosing encapsulating peritonitis (SEP) is a rare condition causing intestinal obstruction. This case highlights typical CT scan findings aiding pre-operative diagnosis, crucial for managing this serious complication.

Keywords:

abdominal surgery peritoneal dialysis sclerosing encapsulating peritonitis

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Area of Science:

Gastroenterology
Radiology
Surgical Complications

Background:

Sclerosing encapsulating peritonitis (SEP) is a rare, severe condition linked to abdominal surgery, recurrent peritonitis, and peritoneal dialysis.
It presents with high morbidity and mortality, and its exact cause remains largely unknown.
Diagnosis is often delayed, typically confirmed during surgery for small bowel obstruction.

Purpose of the Study:

To report a case of intestinal obstruction due to sclerosing encapsulating peritonitis.
To emphasize the diagnostic utility of computed tomography (CT) in pre-operative identification of SEP.
To highlight the challenges in diagnosing this rare condition pre-operatively.

Main Methods:

A case study of a patient presenting with intestinal obstruction.
Review of clinical presentation and diagnostic imaging.
Confirmation of diagnosis through surgical exploration.

Main Results:

The patient exhibited classic computed tomography (CT) findings suggestive of sclerosing encapsulating peritonitis (SEP).
Pre-operative diagnosis of SEP was achieved via CT scan.
Surgical findings confirmed the CT diagnosis.

Conclusions:

Computed tomography (CT) can be instrumental in the pre-operative diagnosis of sclerosing encapsulating peritonitis (SEP).
Early and accurate diagnosis, facilitated by CT, is vital for managing patients with SEP.
This case underscores the importance of recognizing characteristic CT findings for this rare but serious condition.