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Updated: Mar 28, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Idiopathic encapsulating sclerosing peritonitis
Turan Acar1, İbrahim Kokulu1, Nihan Acar1
1Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.
Insights
Sclerosing encapsulating peritonitis (SEP), a rare abdominal cocoon syndrome, typically affects young females. Diagnosis is key, with conservative treatment preferred over aggressive surgery to manage this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing encapsulating peritonitis (SEP), also known as abdominal cocoon syndrome, is a rare condition.
- It predominantly affects young females, with an unknown etiology.
- Accurate and timely diagnosis is crucial for patient outcomes.
Observation:
- SEP is often diagnosed incidentally during surgical procedures.
- Clinical presentation can vary, necessitating a thorough diagnostic approach.
- A case review of a patient undergoing surgery for SEP was conducted.
Findings:
- The study reviews the clinical features of SEP.
- Diagnostic imaging plays a vital role in identifying the condition.
- Surgical intervention is typically a last resort, often following conservative management.
Implications:
- Conservative management is recommended as the initial treatment for SEP.
- Aggressive surgical intervention should be approached with caution.
- Understanding SEP's clinical features aids in better patient management and prognosis.
Abstract:
Sclerosing encapsulating peritonitis (SEP)/abdominal cocoon syndrome is a rare condition that is generally identified in young females. The exact cause is still unknown. Timely and accurate imaging and diagnosis play a critical role for morbidity and mortality. It is usually diagnosed during surgery. The initial treatment should be conservative, and aggressive surgical approach should be avoided as much as possible. Herein, we aimed to review the clinical features of SEP based on a patient who underwent surgery in our clinic.
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