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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
90

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Related Experiment Video

Updated: Jul 23, 2025

Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
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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
PubMed
Summary

Sclerosing encapsulating peritonitis, a rare cause of intestinal obstruction, presents diagnostic challenges. Early surgical intervention and steroid therapy can effectively manage this condition.

Keywords:
Abdominal painIntestinal obstructionPeritoneal fibrosisSclerosing peritonitisTreatment

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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.