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Date Published: 03/05/2024
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DOI: https://doi.org/10.56535/jmpm.v49.787
Issue
Vol. 49 (2024): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ - SỐ ĐẶC BIỆT 5/2024
Section
CDHA
How to Cite
Hoang, T. M., Hoàng, Đ. Â., Đào, T. L., & Lê, T. L. (2024). Diagnostic imaging of Primary Sclerosing Encapsulating Peritonitis – A rare case report. Journal of Military Pharmaco-medicine, 49, 121-127. https://doi.org/10.56535/jmpm.v49.787

Diagnostic imaging of Primary Sclerosing Encapsulating Peritonitis – A rare case report

Hoang Tu Minh , Đình Âu Hoàng, Thị Luận Đào, Tuấn Linh Lê

Main Article Content

Abstract

Sclerosing Encapsulating Peritonitis (SEP), also known as Abdominal cocoon, is a rare chronic inflammatory condition of the peritoneum of unknown etiology1,2,3. This condition occurs when the bowel loops are covered in the peritoneal cavity by a membrane, leading to intestinal obstruction. Because of its rarity and nonspecific initial clinical presentation, the disease is often unrecognized and difficult to make a definite pre-operative diagnosis. With some characteristic imaging features, radiology contributes to the differential diagnosis of SEP from other causes of intestinal obstruction4,5.


We report a case of a 53-year-old man who previously had several episodes of unexplained, self-limited peri-umbilical abdominal pain, who presented to our hospital with symptoms of intestinal obstruction including peri-umbilical abdominal pain, constipation and inability to pass gas for 2 days. Computed tomography of the abdomen revealed a thin peritoneal-like structure surrounding nearly all loops of the small intestine causing intestinal obstruction. The patient underwent emergency surgery to release the bowel loops and remove this peritoneal structure for histopathological examination. Histopathology combined with computed tomography imaging answered the definitive diagnosis of Sclerosing encapsulating peritonitis.

Article Details

Keywords

Sclerosing Encapsulating Peritonitis, primary, secondary, type

References

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