Sclerosing Encapsulating Peritonitis: Review.

Machado NO
Sultan Qaboos University medical journal · 2016 · doi:10.18295/squmj.2016.16.02.003 · PMID:27226904 · PMC4868512
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This review of 118 cases characterizes sclerosing encapsulating peritonitis as a rare condition causing bowel obstruction, noting that surgical excision is the predominant management strategy with high success rates.

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This review examines sclerosing encapsulating peritonitis, a rare chronic inflammatory condition also known as abdominal cocoon, where bowel loops are encased by a fibrous membrane. The authors analyzed 118 reported cases, noting that the mean patient age was 39 years with a male predominance, and identified abdominal pain and distension as the most common clinical presentations. While early-stage disease may be managed conservatively, surgical excision remains the primary treatment for advanced intestinal obstruction, which was performed in nearly all reviewed cases without significant postoperative complications. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Sclerosing encapsulating peritonitis (SEP) is a rare chronic inflammatory condition of the peritoneum with an unknown aetiology. Also known as abdominal cocoon, the condition occurs when loops of the bowel are encased within the peritoneal cavity by a membrane, leading to intestinal obstruction. Due to its rarity and non-specific clinical features, it is often misdiagnosed. The condition presents with recurrent episodes of small bowel obstruction and can be idiopathic or secondary; the latter is associated with predisposing factors such as peritoneal dialysis or abdominal tuberculosis. In the early stages, patients can be managed conservatively; however, surgical intervention is necessary for those with advanced stage intestinal obstruction. A literature review revealed 118 cases of SEP; the mean age of these patients was 39 years and 68.0% were male. The predominant presentation was abdominal pain (72.0%), distension (44.9%) or a mass (30.5%). Almost all of the patients underwent surgical excision (99.2%) without postoperative complications (88.1%).
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Abstract Sclerosing encapsulating peritonitis (SEP) is a rare chronic inflammatory condition of the peritoneum with an unknown aetiology. Also known as abdominal cocoon, the condition occurs when loops of the bowel are encased within the peritoneal cavity by a membrane, leading to intestinal obstruction. Due to its rarity and nonspecific clinical features, it is often misdiagnosed. The condition presents with recurrent episodes of small bowel obstruction and can be idiopathic or secondary; the latter is associated with predisposing factors such as peritoneal dialysis or abdominal tuberculosis. In the early stages, patients can be managed conservatively; however, surgical intervention is necessary for those with advanced stage intestinal obstruction. A literature review revealed 118 cases of SEP; the mean age of these patients was 39 years and 68.0% were male. The predominant presentation was abdominal pain (72.0%), distension (44.9%) or a mass (30.5%). Almost all of the patients underwent surgical excision (99.2%) without postoperative complications (88.1%). Article Type Review Publication Date 5-15-2016 First Page 142 Last Page 151 Creative Commons License This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License. Recommended Citation Machado, Norman O. (2016) "Sclerosing Encapsulating Peritonitis : Review," Sultan Qaboos University Medical Journal: Vol. 16: 142-151. DOI: https://doi.org/10.18295/squmj.2016.16.02.003

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