Abstract
Introduction: Idiopathic Sclerosing encapsulated peritonitis (SEP) is a rare cause of recurrent intestinal obstruction mainly in young and adolescent females from tropical and subtropical regions. SEP can be primarily classified as idiopathic or secondary-due to some known etiology.
Case Summary: During a period of eight years we encountered five cases of idiopathic SEP. All patients presented with recurrent intestinal obstruction and managed operatively.
Discussion: SEP is a rare condition in the clinics. Etiology is relatively unknown. Most cases are diagnosed incidentally at laparotomy, and a better awareness of this entity and the imaging techniques may facilitate pre-operative diagnosis.
Conclusion: Primarily the diagnosis is made incidentally at laparotomy. Management of SEP is debated. But most clinicians agreed that surgical treatment is required in symptomatic patients.
Keywords: Idiopathic, Sclerosing, Encapsulating peritonitis, fibrous capsule.
References
- J N Tannoury, B N Abboud: Idiopathic sclerosing encapsulating peritonitis: Abdominal cocoon World J Gastroenterol. 2012 May 7; 18(17): 1999–2004
- Ping X, Li-Hua C, and You-Ming L: Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): A report of 5 cases. World J Gastroenterol. 2007 Jul 14; 13(26): 3649–3651
- Rakesh K.G, Agrawal S.C, Bajracharya, P.L Sah: Idiopathic sclerosing encapsulating peritonitis in an adult male with intermittent subacute bowel obstruction, preoperative multidetector-row CT (MDCT) diagnosis. BMJ Case Reports 2011: published online 30 August 2011
- H Al-Ani, N.A Zayani, M Najmeddine, S Jacob, S Nair: Idiopathic sclerosing encapsulating peritonitis (abdominal cocoon) in an adult male. A case report. Int J Surg Case Rep. 2014; 5(10): 735–738
- Sami A: Accurate definition and management of idiopathic sclerosing encapsulating peritonitis. World J Gastroenterol. 2015 Jan 14; 21(2): 675–687.
- Mei C.L, Nikita C.C, Danilo M.G: Idiopathic Sclerosing Encapsulating Peritonitis: A Rare Cause of Subacute Intestinal Obstruction. Case Rep Med. 2016; 2016: 8206894.
- Shirish N, Kamal M, Renu N, Ekta P: Sclerosing encapsulating peritonitis: A case series. Indian J Gastroenterol (2014) 33: 183.
- Inian S, George M, Venkatramani S, and Benjamin P: The abdominal cocoon and an effective technique of surgical management. Tropical gastroenterology: official journal of the Digestive Diseases Foundation 26(1):51-3 · November 2004.
- Térébus, Loock J, Lubrano C, Courivaud C, Vautrin B: CT in predicting abdominal cocoon in patients on peritoneal dialysis. Clinical Radiology Volume 65, Issue 11, November 2010, Pages 924-929
- L. Zhang, Shun Z, Bin Z: Epidemiology of abdominal cocoon in China during the past 14 years. World Chinese Journal of Digestology 16(3):338-341 · the abdominal cocoon. A case report.
- Reynders D, Van der Stighelen Y. The abdominal cocoon. A case report. Acta Chir Belg. 2009 Nov-Dec; 109(6):772-4.
- Devay AO, Gomceli I, Korukluoglu B, Kusdemir A.: An Unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature. World J Emerg Surg. 2006 Mar 24;1:8
- Norman O. M; Sclerosing Encapsulating Peritonitis. Sultan QaboosUniv Med J. 2016 May; 16(2): e142–e151.
- Xia, Jie, Xie, WeiJia, Chen, Li, Liu, Daren: Abdominal cocoon with early postoperative small bowel obstruction: A case report and review of literature in China. Medicine: June 2018 - Volume 97 - Issue 25 - p e11102
- Rushil J, Vimal J, Shaliy J: Revisiting the enigmatic abdominal cocoon. Astrocyte, Year 2018, Volume 4, Issue 4 [p. 259-261]
- Christopher J D, Steven C L, Martin P S, Jacqueline L W: Encapsulating peritoneal sclerosis. World J Gastroenterol 2018 Jul 28; 24(28): 3101–3111.
- Chatura RK, Nayak VJ. Abdominal cocoon: Case report of a rare cause of intestinal obstruction. Indian J Pathol Microbiol 2012; 55:379-80
- Mohammad Z S, Shumaila H, B. Dala-Ali, Sahnoor A, A. Hashmi : Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma. Case Rep Surg. 2015; 2015:282368
- Norihiro O, Koutarou M, Masato F, Harunobu S: Abdominal Cocoon in an Aged Man: Report of a Case. Surgery Today 37(3):258-60
- Masuda C, Fujii Y, Kamiya T, Miyamoto M, Nakahara K, et al : Idiopathic sclerosing peritonitis in a man. Intern Med. 1993 Jul; 32(7):552-5.
Corresponding Author
Ujjwal Pal Singh
Junior Resident, Department of General Surgery, G.S.V.M Medical College, Kanpur, India