Idiopathic sclerosing encapsulating peritonitis in an adult male with intermittent subacute bowel obstruction, preoperative multidetector-row CT (MDCT) diagnosis.
Idiopathic sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction that is characterised by a thick greyish-white fibrotic membrane encasing the small bowel. It is difficult to make a definite preoperative diagnosis. We report a successfully treated case of a 42-year-man, presented with sub acute small bowel obstruction caused by SEP. CT showed characteristic findings of small bowel loops congregated to the center of the abdomen encased by a soft-tissue density mantle. He had undergone adhesiolysis and uneventful postoperative period. A high index of clinical suspicion may be generated by the recurrent character of small bowel obstruction combined with relevant imaging findings and lack of other plausible aetiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a surprise upon laparotomy and result in proper management.
Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal. rakesh154@yahoo.co.in
Rakesh Kumar
RK
Gupta
Agrawal Shekhar
AS
Chandra
Amir
A
Bajracharya
Panna Lal
PL
Sah
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D008297:Male; D010538:Peritonitis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D012598:Sclerosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed