[Encapsulant peritonitis]

A Hankard1, L Fournier2, T Lobbedez3

  • 1Service de médecine interne et d'immunologie clinique, CHU de Caen, 14000 Caen, France.

La Revue De Medecine Interne
|October 23, 2019
PubMed
Abstract

Insights

Encapsulating peritonitis, a rare fibrotic condition, can occur years after gastric surgery. This case highlights a delayed diagnosis in a patient with a history of gastric ulcer perforation.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Nephrology

Background:

  • Encapsulating peritonitis is a severe, chronic fibrotic condition characterized by a fibrous membrane enveloping the digestive tract.
  • While idiopathic cases exist, it is often secondary to peritoneal dialysis or abdominal surgery.
  • Current treatment strategies for encapsulating peritonitis are not well-established and remain challenging.

Observation:

  • A case report details a 36-year-old patient diagnosed with encapsulating peritonitis.
  • The diagnosis followed a prolonged history of sub-occlusive symptoms.
  • The patient had a history of gastric ulcer perforation eight years prior to diagnosis.

Findings:

  • This case illustrates a rare instance of delayed encapsulating peritonitis following gastric ulcer perforation.
  • The sub-occlusive symptoms were indicative of the fibrotic complications.
  • The extended latency period between perforation and diagnosis is noteworthy.

Implications:

  • This case underscores the importance of considering delayed complications of abdominal surgery, such as encapsulating peritonitis.
  • Further research into the etiologies and long-term consequences of encapsulating peritonitis is warranted.
  • Improved diagnostic and therapeutic approaches are needed for this rare condition.

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