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Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report.
Mohamad Mansour1, Yousef S Alabrach1, Mahmoud Eladl1
1Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, ARE.
Cureus
|September 30, 2022
Summary
Sclerosing encapsulating peritonitis (SEP) is a rare cause of bowel obstruction. This case highlights differentiating SEP from internal hernias using CT scans for better pre-operative diagnosis.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Sclerosing encapsulating peritonitis (SEP) is a rare condition causing abdominal obstruction with unclear pathophysiology.
- Pre-operative diagnosis of SEP is challenging, often leading to incidental findings during surgery.
Observation:
- A 33-year-old male presented with cachexia and complete small bowel obstruction.
- Initial CT scan suggested an internal hernia, but laparoscopy revealed characteristic SEP with small bowel encasement.
Findings:
- Laparotomy with adhesiolysis and membrane excision successfully resolved the obstruction.
- Retrospective CT analysis confirmed SEP's radiological signs, distinct from internal hernias.
Implications:
- This case underscores the importance of recognizing subtle CT findings suggestive of SEP.
- Improved pre-operative diagnostic strategies can differentiate SEP from internal hernias, optimizing surgical planning and patient outcomes.
Keywords:
abdominal cocoonacute abdomendiagnostic laparoscopyinternal herniasclerosing encapsulating peritonitissmall bowel obstructionMore Related Videos
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