Intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis : a case report
Joint Authors
Yavuz, Ridvan
Demircan, Firat
Babur, Muhammad
Akbulut, Sami
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 17, Issue 5 (31 May. 2015), pp.1-4, 4 p.
Publisher
Publication Date
2015-05-31
Country of Publication
United Arab Emirates
No. of Pages
4
Main Subjects
Topics
Abstract EN
Introduction : Sclerosing encapsulating peritonitis (SEP) is characterized by partial or complete encasement of small intestine by a thick fibrocollagenous membrane.
Depending on underlying causes, SEP is divided into primary and secondary forms.
Idiopathic SEP is also called idiopathic or abdominal cocoon syndrome.
Herein we presented a case of idiopathic SEP.
Case Presentation : A 90-year-old male patient presented to our emergency department with signs and symptoms of intestinal obstruction and dehydration.
Physical examination findings, patient's age and plain abdominal radiography were consistent with tumoral obstruction or viscus perforation.
Explorative laparotomy revealed a fibrous capsule encasing intestines as well as dense adhesions between intestinal loops.
Since the overall condition of the patient was not well enough to allow a wide dissection and membrane excision, the operation was terminated after performing a limited loop ileostomy.
Unfortunately, the patient was lost due to organ failure at the postoperative period.
Conclusions : Despite advances in radiological techniques, the exact diagnosis in many cases is still made according to intraoperative findings and histopathological properties of the excised membrane.
While some cases of SEP remain asymptomatic for years, most cases are characterized by recurrent bouts of acute, subacute or chronic intestinal obstruction.
To our knowledge, the case presented here is the oldest patient with idiopathic SEP in the literature.
American Psychological Association (APA)
Yavuz, Ridvan& Akbulut, Sami& Babur, Muhammad& Demircan, Firat. 2015. Intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis : a case report. Iranian Red Crescent Medical Journal،Vol. 17, no. 5, pp.1-4.
https://search.emarefa.net/detail/BIM-577894
Modern Language Association (MLA)
Yavuz, Ridvan…[et al.]. Intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis : a case report. Iranian Red Crescent Medical Journal Vol. 17, no. 5 (May. 2015), pp.1-4.
https://search.emarefa.net/detail/BIM-577894
American Medical Association (AMA)
Yavuz, Ridvan& Akbulut, Sami& Babur, Muhammad& Demircan, Firat. Intestinal obstruction due to idiopathic sclerosing encapsulating peritonitis : a case report. Iranian Red Crescent Medical Journal. 2015. Vol. 17, no. 5, pp.1-4.
https://search.emarefa.net/detail/BIM-577894
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4
Record ID
BIM-577894