Title: Idiopathic Sclerosing Encapsulated Peritonitis- Case Series and Review of Literature

Authors: Gulab Dhar Yadav, Ramendra Kumar Jauhari, Anurag Singh, Ujjwal Pal Singh, Amulya Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.84

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

  1. J N Tannoury, B N Abboud: Idiopathic sclerosing encapsulating peritonitis: Abdominal cocoon World J Gastroenterol. 2012 May 7; 18(17): 1999–2004
  2. 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
  3. 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
  4. 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
  5. Sami A: Accurate definition and management of idiopathic sclerosing encapsulating peritonitis. World J Gastroenterol. 2015 Jan 14; 21(2): 675–687.
  6. 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.
  7. Shirish N, Kamal M, Renu N, Ekta P: Sclerosing encapsulating peritonitis: A case series. Indian J Gastroenterol (2014) 33: 183. 
  8. 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.
  9. 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
  10. 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.
  11. Reynders D, Van der Stighelen Y. The abdominal cocoon. A case report. Acta Chir Belg. 2009 Nov-Dec; 109(6):772-4.
  12. 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
  13. Norman O. M; Sclerosing Encapsulating Peritonitis. Sultan QaboosUniv Med J. 2016 May; 16(2): e142–e151.
  14. 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
  15. Rushil J, Vimal J, Shaliy J: Revisiting the enigmatic abdominal cocoon. Astrocyte, Year 2018, Volume 4, Issue 4 [p. 259-261]
  16. 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.
  17. Chatura RK, Nayak VJ. Abdominal cocoon: Case report of a rare cause of intestinal obstruction. Indian J Pathol Microbiol 2012; 55:379-80
  18. 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
  19. Norihiro O, Koutarou M, Masato F, Harunobu S: Abdominal Cocoon in an Aged Man: Report of a Case. Surgery Today 37(3):258-60
  20. 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