Primary Sclerosing Encapsulating Peritonitis (PSEP) With Meckel's Diverticulum: A Rare Case Report

Area of Science:

• Gastroenterology
• Surgical Pathology
• Abdominal Imaging

Background:

• Sclerosing encapsulating peritonitis (SEP) is a rare condition characterized by fibrous encapsulation of the small intestine.
• Diagnosis often relies on imaging modalities like computed tomography (CT) to identify the characteristic "abdominal cocoon".
• SEP can present with symptoms of abdominal pain, nausea, and vomiting, frequently leading to intestinal obstruction.

Observation:

• The case involved primary sclerosing encapsulating peritonitis.
• A complicating factor identified was the presence of Meckel's diverticulum.
• Management strategies for this complex presentation were employed at the institution.

Findings:

• The report focuses on the clinical management of a rare case of primary SEP.
• The co-occurrence of Meckel's diverticulum presented a unique challenge.
• Successful management involved specific institutional approaches to this dual pathology.

Implications:

• Highlights the importance of considering Meckel's diverticulum in SEP presentations.
• Informs surgical and diagnostic strategies for rare abdominal cocoon cases.
• Contributes to understanding the management of complex intestinal obstructions due to SEP.