Sclerosing Encapsulating Peritonitis: A Rare Cause of Intestinal Obstruction

Mohamed H Yusuf1

  • 1General Surgery, Salmaniya Medical Complex, Manama, BHR.

Cureus
|July 5, 2021
PubMed

Insights

Sclerosing encapsulating peritonitis (SEP) can cause bowel obstruction due to a unique membrane. Surgical removal of this membrane and adhesions successfully treated a patient with recurrent abdominal symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Sclerosing encapsulating peritonitis (SEP) is a rare condition characterized by a fibrocollagenous membrane encasing the small bowel.
  • It can lead to significant complications, including small bowel obstruction.

Observation:

  • A 36-year-old male presented with recurrent abdominal pain, distention, vomiting, and constipation.
  • Abdominal CT imaging demonstrated a thickened, enhanced membrane enclosing small intestinal loops.

Findings:

  • Exploratory laparotomy revealed a cocoon-like membrane with extensive inter-loop adhesions.
  • Surgical intervention involved decortication and excision of the membrane, adhesiolysis, and appendectomy.

Implications:

  • Surgical management is effective for treating symptoms associated with sclerosing encapsulating peritonitis.
  • This case highlights the importance of considering SEP in patients with recurrent bowel obstruction symptoms.

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