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Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report

BACKGROUND: Encapsulating peritoneal sclerosis (EPS) is hard to diagnose because of nonspecific symptoms and signs. It is a general consensus that EPS is classified as primary and secondary. There have been several studies discovering some high-risk factors such as liver cirrhosis, of which AMA-M2 i...

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Autores principales: Yin, Min-Yue, Qian, Li-Juan, Xi, Li-Ting, Yu, Yi-Xing, Shi, Yu-Qi, Liu, Lu, Xu, Chun-Fang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316956/
https://www.ncbi.nlm.nih.gov/pubmed/34368336
http://dx.doi.org/10.12998/wjcc.v9.i21.6138
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author Yin, Min-Yue
Qian, Li-Juan
Xi, Li-Ting
Yu, Yi-Xing
Shi, Yu-Qi
Liu, Lu
Xu, Chun-Fang
author_facet Yin, Min-Yue
Qian, Li-Juan
Xi, Li-Ting
Yu, Yi-Xing
Shi, Yu-Qi
Liu, Lu
Xu, Chun-Fang
author_sort Yin, Min-Yue
collection PubMed
description BACKGROUND: Encapsulating peritoneal sclerosis (EPS) is hard to diagnose because of nonspecific symptoms and signs. It is a general consensus that EPS is classified as primary and secondary. There have been several studies discovering some high-risk factors such as liver cirrhosis, of which AMA-M2 is a biomarker, and intra-abdominal surgery such as laparoscopic surgery. Imaging studies help to diagnose EPS and exploratory laparotomy might be an alternative if imaging fails. Nowadays, laparotomy plays a key role in treating EPS, especially when medical treatments do not work and medical therapy fails to ease patients’ symptoms. CASE SUMMARY: A 58-year-old man complained of unexplained vomiting and abdominal distension 2 mo after laparoscopic cholecystectomy. Increased alkaline phosphatase and liver enzymes were discovered. An autoimmune liver disease test showed that AMA-M2 was positive. A gastroscopy revealed bile reflux gastritis. A magnetic resonance imaging scan showed a slight dilatation of the intrahepatic bile duct. A colonoscopy showed that there was a mucosal eminence lesion in the sigmoid colon (24 cm away from the anus), with a size of 3 cm × 3 cm and erosive surface. At last, the small intestine and the stomach were found to be encased in a cocoon-like membrane during the surgery. The membrane was dissected and adhesiolysis was done to release the trapped organs. The patient recovered and was discharged 44 d after the operation, and there was no recurrence during a follow-up period of 3 mo. CONCLUSION: AMA-M2 is a marker of primary biliary sclerosis and may help to make a preoperative diagnosis of EPS.
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spelling pubmed-83169562021-08-05 Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report Yin, Min-Yue Qian, Li-Juan Xi, Li-Ting Yu, Yi-Xing Shi, Yu-Qi Liu, Lu Xu, Chun-Fang World J Clin Cases Case Report BACKGROUND: Encapsulating peritoneal sclerosis (EPS) is hard to diagnose because of nonspecific symptoms and signs. It is a general consensus that EPS is classified as primary and secondary. There have been several studies discovering some high-risk factors such as liver cirrhosis, of which AMA-M2 is a biomarker, and intra-abdominal surgery such as laparoscopic surgery. Imaging studies help to diagnose EPS and exploratory laparotomy might be an alternative if imaging fails. Nowadays, laparotomy plays a key role in treating EPS, especially when medical treatments do not work and medical therapy fails to ease patients’ symptoms. CASE SUMMARY: A 58-year-old man complained of unexplained vomiting and abdominal distension 2 mo after laparoscopic cholecystectomy. Increased alkaline phosphatase and liver enzymes were discovered. An autoimmune liver disease test showed that AMA-M2 was positive. A gastroscopy revealed bile reflux gastritis. A magnetic resonance imaging scan showed a slight dilatation of the intrahepatic bile duct. A colonoscopy showed that there was a mucosal eminence lesion in the sigmoid colon (24 cm away from the anus), with a size of 3 cm × 3 cm and erosive surface. At last, the small intestine and the stomach were found to be encased in a cocoon-like membrane during the surgery. The membrane was dissected and adhesiolysis was done to release the trapped organs. The patient recovered and was discharged 44 d after the operation, and there was no recurrence during a follow-up period of 3 mo. CONCLUSION: AMA-M2 is a marker of primary biliary sclerosis and may help to make a preoperative diagnosis of EPS. Baishideng Publishing Group Inc 2021-07-26 2021-07-26 /pmc/articles/PMC8316956/ /pubmed/34368336 http://dx.doi.org/10.12998/wjcc.v9.i21.6138 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Yin, Min-Yue
Qian, Li-Juan
Xi, Li-Ting
Yu, Yi-Xing
Shi, Yu-Qi
Liu, Lu
Xu, Chun-Fang
Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title_full Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title_fullStr Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title_full_unstemmed Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title_short Encapsulating peritoneal sclerosis in an AMA-M2 positive patient: A case report
title_sort encapsulating peritoneal sclerosis in an ama-m2 positive patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316956/
https://www.ncbi.nlm.nih.gov/pubmed/34368336
http://dx.doi.org/10.12998/wjcc.v9.i21.6138
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