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[Idiopathic sclerosing encapsulating peritonitis: a case report].

Nizar El Bouardi1,2, Moulay Youssef Alaoui Lamrani1,2, Meriam Haloua1,2

  • 1Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.

The Pan African Medical Journal
|April 29, 2021
PubMed
Summary

Sclerosing encapsulating peritonitis is a rare condition causing abdominal encapsulation. This case highlights the idiopathic form, emphasizing diagnostic challenges and the need for awareness in clinical practice.

Keywords:
Encapsulating peritonitisa case reportcomputed tomographyidiopathicmedical imaging

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Area of Science:

  • Gastroenterology
  • Pathology
  • Radiology

Background:

  • Sclerosing encapsulating peritonitis (SEP) is a rare chronic fibroinflammatory disease.
  • It encases abdominal viscera with an egg-shell-shaped fibrous capsule.
  • While secondary causes are common, idiopathic SEP is exceptionally rare.

Observation:

  • Clinical signs of SEP are often non-specific and misleading.
  • Medical imaging, particularly computed tomography (CT), aids diagnosis.
  • CT can reveal a thin peritoneal membrane encapsulating agglutinated digestive loops.

Findings:

  • This report details a case of idiopathic sclerosing encapsulating peritonitis in a 53-year-old woman.
  • The rarity of the idiopathic form underscores the need for careful differential diagnosis.
  • Diagnostic imaging plays a crucial role in identifying characteristic peritoneal changes.

Implications:

  • Increased awareness of idiopathic SEP is crucial for timely diagnosis and management.
  • Further research into the pathogenesis of idiopathic SEP may elucidate underlying mechanisms.
  • This case contributes to the limited literature on idiopathic sclerosing encapsulating peritonitis, aiding future clinical recognition.