Related Experiment Video
Updated: Jul 23, 2025
06:45
Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 18, 2010
19.5K
Primary sclerosing encapsulating peritonitis: a case report
T Pintar1,2, M Tavčar3, A Šušteršič4
1Medical Faculty, University of Ljubljana, Ljubljana, Slovenia. tadeja.pintar@mf.uni-lj.si.
Journal of Medical Case Reports
|July 13, 2023
Summary
Sclerosing encapsulating peritonitis, a rare cause of intestinal obstruction, presents diagnostic challenges. Early surgical intervention and steroid therapy can effectively manage this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing encapsulating peritonitis (SEP) is a rare condition characterized by a fibrocollagenous membrane encasing the small intestine, leading to obstruction.
- Its varied symptoms and macroscopic appearance pose diagnostic difficulties.
Observation:
- A 48-year-old male presented with recurrent abdominal pain and obstruction, initially suspected to be internal mesenteric hernia.
- Laparoscopy and laparotomy revealed extensive fibrous tissue enveloping the small intestine, necessitating membrane excision and adhesiolysis.
Findings:
- Histopathological and immunological results confirmed Type III SEP.
- Postoperative low-dose steroid therapy resolved paralytic ileus.
Implications:
- SEP diagnosis remains challenging, requiring intraoperative confirmation and surgical management.
- Distinguishing between primary and secondary SEP is crucial for treatment and prognosis.
- Further research is needed for specific diagnostic markers.
