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Bowel obstruction complicating an encapsulating peritoneal sclerosis: A case report
Messaoud Ola1, El Mansoury Fatima Zahra1, Cherraqi Amine1
1Radiology Department, Military Hospital Mohamed V Rabat, Morocco.
Radiology Case Reports
|January 23, 2024
Summary
Encapsulating peritoneal sclerosis (EPS) is a rare condition causing bowel obstruction, often presenting with a characteristic "cocoon" appearance on imaging. This case highlights the diagnostic challenge of EPS in a patient with severe constipation.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Encapsulating peritoneal sclerosis (EPS) is a rare condition with idiopathic or secondary causes.
- Bowel obstruction is a common complication of EPS, often identified by a distinctive "cocoon" radiological finding.
Observation:
- A 40-year-old male presented with complete constipation.
- Computed tomography (CT) imaging revealed findings suggestive of abdominal cocoon, indicative of EPS.
Findings:
- The CT scan indicated an abdominal cocoon as the cause of small bowel obstruction.
- This imaging finding is characteristic of encapsulating peritoneal sclerosis.
Implications:
- Early diagnosis of EPS through characteristic imaging is crucial for timely intervention.
- Understanding the radiological signs of abdominal cocoon aids in diagnosing EPS and managing bowel obstruction.
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