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Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report

Sclerosing encapsulating peritonitis (SEP) is a rare entity that could lead to abdominal obstruction; however, despite being reported in several case series, its underlying pathophysiology is still unclear. A large proportion of SEP cases are diagnosed incidentally or after surgical exploration, whi...

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Autores principales: Mansour, Mohamad, Alabrach, Yousef S, Eladl, Mahmoud, Attia, Khalid E, El Nogoomi, Ibrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512256/
https://www.ncbi.nlm.nih.gov/pubmed/36176872
http://dx.doi.org/10.7759/cureus.28476
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author Mansour, Mohamad
Alabrach, Yousef S
Eladl, Mahmoud
Attia, Khalid E
El Nogoomi, Ibrahim
author_facet Mansour, Mohamad
Alabrach, Yousef S
Eladl, Mahmoud
Attia, Khalid E
El Nogoomi, Ibrahim
author_sort Mansour, Mohamad
collection PubMed
description Sclerosing encapsulating peritonitis (SEP) is a rare entity that could lead to abdominal obstruction; however, despite being reported in several case series, its underlying pathophysiology is still unclear. A large proportion of SEP cases are diagnosed incidentally or after surgical exploration, which poses a great challenge to pre-operative diagnosis. We hereby report a case of a 33-year-old male patient who presented with cachexia and a clinical picture of complete small bowel obstruction. CT scan of the abdomen raised suspicion of an internal hernia, prompting explorative surgical evaluation. Laparoscopy showed encasement of the small bowel loops in a thick fibrocollagenous membrane characteristic of SEP. Laparotomy with adhesiolysis and membrane excision successfully led to the resolution of obstruction. Retrospective interpretation of the initial CT scan confirmed the presence of SEP’s characteristic radiological signs and provided an insight into how it contrasts with an internal hernia. This case provides an opportunity to highlight the differences between the two clinical entities and the pre-operative diagnostic strategies.
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spelling pubmed-95122562022-09-28 Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report Mansour, Mohamad Alabrach, Yousef S Eladl, Mahmoud Attia, Khalid E El Nogoomi, Ibrahim Cureus Radiology Sclerosing encapsulating peritonitis (SEP) is a rare entity that could lead to abdominal obstruction; however, despite being reported in several case series, its underlying pathophysiology is still unclear. A large proportion of SEP cases are diagnosed incidentally or after surgical exploration, which poses a great challenge to pre-operative diagnosis. We hereby report a case of a 33-year-old male patient who presented with cachexia and a clinical picture of complete small bowel obstruction. CT scan of the abdomen raised suspicion of an internal hernia, prompting explorative surgical evaluation. Laparoscopy showed encasement of the small bowel loops in a thick fibrocollagenous membrane characteristic of SEP. Laparotomy with adhesiolysis and membrane excision successfully led to the resolution of obstruction. Retrospective interpretation of the initial CT scan confirmed the presence of SEP’s characteristic radiological signs and provided an insight into how it contrasts with an internal hernia. This case provides an opportunity to highlight the differences between the two clinical entities and the pre-operative diagnostic strategies. Cureus 2022-08-27 /pmc/articles/PMC9512256/ /pubmed/36176872 http://dx.doi.org/10.7759/cureus.28476 Text en Copyright © 2022, Mansour et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Mansour, Mohamad
Alabrach, Yousef S
Eladl, Mahmoud
Attia, Khalid E
El Nogoomi, Ibrahim
Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title_full Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title_fullStr Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title_full_unstemmed Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title_short Sclerosing Encapsulating Peritonitis Mimicking an Internal Hernia: A Case Report
title_sort sclerosing encapsulating peritonitis mimicking an internal hernia: a case report
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512256/
https://www.ncbi.nlm.nih.gov/pubmed/36176872
http://dx.doi.org/10.7759/cureus.28476
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