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Sclerosing encapsulating peritonitis (cocoon bowel) presenting after laparotomy for splenic abscess
1Department of Radiology, Methodist University Hospital, Memphis, TN, USA.
Journal of Radiology Case Reports
|January 15, 2014
Summary
Sclerosing encapsulating peritonitis (SEP), or cocoon bowel, is a rare cause of intestinal obstruction. This case highlights CT and ultrasound findings in a patient with SEP, aiding diagnosis.
Area of Science:
- Gastroenterology
- Radiology
- Abdominal Surgery
Background:
- Sclerosing encapsulating peritonitis (SEP), previously termed cocoon bowel, is an uncommon condition.
- It characteristically causes intestinal obstruction due to a fibrous membrane encasing small bowel loops.
Observation:
- A patient presented with abdominal distension and guarding.
- Computed tomography (CT) revealed findings suggestive of SEP.
- Sonographic imaging provided correlative diagnostic information.
Findings:
- CT demonstrated a fibrous membrane encasing multiple small bowel loops, consistent with SEP.
- Ultrasound offered complementary imaging findings supporting the diagnosis of SEP.
Implications:
- Accurate and timely diagnosis of SEP is crucial for effective management.
- Multimodality imaging, including CT and ultrasound, plays a vital role in diagnosing this rare condition.
- Understanding the imaging characteristics of SEP aids in differentiating it from other causes of intestinal obstruction.
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