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Idiopathic encapsulating peritonitis: report of two cases
Magda Maria Profeta Da Luz1, Sumara Marques Barral, Carlyle Marques Barral
1Division of Coloproctology and Small Bowel, Alfa Institute of Gastroenterology, Federal University of Minas Gerais Hospital, Av. Alfredo Balena 110 - 2° andar, Belo Horizonte, MG 30130-100, Brazil.
Surgery Today
|October 5, 2011
Summary
Two young males experienced partial bowel obstruction due to idiopathic sclerosing encapsulating peritonitis (SEP). Surgical intervention successfully resolved the obstruction, demonstrating good prognosis for this rare condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing encapsulating peritonitis (SEP) is a rare condition characterized by fibrosclerosis of the peritoneum, leading to intestinal obstruction.
- The pathophysiology of SEP is poorly understood, with various patient groups reported, but the etiology remains largely obscure.
Observation:
- This report details two cases of young males presenting with partial bowel obstruction caused by the idiopathic form of SEP.
- Diagnosis was established intraoperatively, highlighting the challenges in preoperative identification due to the condition's unique presentation.
Findings:
- Surgical treatment involving dissection of the fibrotic membrane and separation of adhesions successfully relieved the bowel obstruction in both cases.
- Both patients achieved satisfactory outcomes following surgical management.
Implications:
- Early recognition and surgical intervention are crucial for managing bowel obstruction caused by SEP, potentially preventing unnecessary bowel resection.
- While prognosis is generally good after surgery, it may be influenced by the presence of coexisting medical conditions.
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