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Sclerosing Encapsulating Peritonitis: Review.

Norman O Machado1

  • 1Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.

Sultan Qaboos University Medical Journal
|May 27, 2016
PubMed
Summary
This summary is machine-generated.

Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon, is a rare condition causing bowel obstruction. Surgical excision is highly effective for advanced cases, with most patients experiencing no postoperative complications.

Keywords:
Abdominal PainIntestinal DiseasesIntestinal ObstructionMembrane TissuePeritonitisSclerosis

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery

Background:

  • Sclerosing encapsulating peritonitis (SEP), also known as abdominal cocoon, is a rare chronic inflammatory peritoneal condition of unknown cause.
  • It leads to intestinal obstruction when bowel loops become encased in a peritoneal membrane, often presenting with recurrent small bowel obstruction.
  • SEP can be idiopathic or secondary to factors like peritoneal dialysis or abdominal tuberculosis, and is frequently misdiagnosed due to non-specific symptoms.

Purpose of the Study:

  • To review the literature on sclerosing encapsulating peritonitis (SEP).
  • To analyze the clinical presentation, management, and outcomes of patients with SEP.

Main Methods:

  • A comprehensive literature review was conducted to identify cases of SEP.
  • Data on patient demographics, clinical features, etiology, management, and outcomes were extracted and analyzed.

Main Results:

  • The review identified 118 cases of SEP, with a mean patient age of 39 years and 68% males.
  • Predominant symptoms included abdominal pain (72.0%), distension (44.9%), and abdominal mass (30.5%).
  • Surgical excision was performed in 99.2% of patients, with a high success rate and 88.1% reporting no postoperative complications.

Conclusions:

  • Sclerosing encapsulating peritonitis is a rare condition requiring surgical intervention for advanced obstruction.
  • Surgical excision is an effective treatment for SEP, associated with favorable postoperative outcomes.