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Idiopathic encapsulating peritoneal sclerosis: A case report.
Kammoun Neirouz1, Ben Romdhane Haifa2, Trabelsi Mohamed Mehdi1
1B Surgery Department, Charles Nicolle Hospital, Tunis, Tunisia.
International Journal of Surgery Case Reports
|December 4, 2024
Summary
Encapsulating peritoneal sclerosis (EPS) can mimic internal hernias, leading to misdiagnosis. This rare condition requires increased clinical awareness for timely and accurate diagnosis and treatment.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Pathology
Background:
- Encapsulating peritoneal sclerosis (EPS) is a rare condition.
- It often presents with subocclusive symptoms, mimicking other abdominal pathologies.
- Idiopathic EPS poses diagnostic challenges.
Observation:
- A 52-year-old male presented with chronic abdominal pain and bloating.
- Initial CT scan suggested an internal hernia.
- Laparoscopic surgery revealed EPS with a cocoon-like fibrous tissue encasing the bowel.
Findings:
- EPS is characterized by a rigid fibrous capsule surrounding the intestines.
- Symptoms include recurrent occlusive episodes.
- Idiopathic cases are frequently misdiagnosed preoperatively.
Implications:
- Increased awareness of EPS is crucial for accurate diagnosis.
- Treatment strategies vary based on the underlying cause.
- Surgical intervention may be necessary for refractory cases, albeit with high risks.
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