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[Peritonitis encapsulans]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|February 24, 1983
Summary
Encapsulating peritonitis involves a fibrous membrane encasing abdominal organs, often caused by various conditions like trauma or infections. Surgical membrane excision is the primary treatment, though bowel obstruction recurrence remains a risk.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Encapsulating peritonitis, a rare condition, involves a fibrous membrane encasing abdominal viscera.
- It presents as fibrous perivisceritis with diverse potential etiologies.
Observation:
- Clinical presentation includes subocclusive syndrome and a palpable abdominal mass.
- Radiographic findings reveal gastroduodenal displacement, stenosis, and small bowel loop agglutination.
Findings:
- Tuberculosis is an infrequent cause, with trauma, colitis, jejuno-ileitis, and appendicitis being more common.
- Surgical excision of the encapsulating membrane with complete decortication is the recommended treatment.
Implications:
- Complete decortication aims to resolve the obstruction caused by the peritoneal membrane.
- Post-operative risk includes the potential recurrence of bowel obstruction.