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La péritonite encapsulante sclérosante est une entité pathologique très rare. C´est une affection fibroinflammatoire chronique du péritoine aboutissant à la formation d´une coque péritonéale fibreuse diffuse engainant totalement ou localement les viscères abdominaux, notamment le tube digestif. Les signes cliniques sont peu spécifiques et trompeurs. L´imagerie médicale, notamment la tomodensitométrie assoie aisément le diagnostic en mettant en évidence une fine membrane péritonéale englobant un agglutinant d´anses digestives. Les formes secondaires (post dialyse péritonéale, tuberculeuse, médicamenteuse, post chimiothérapie intra péritonéale) sont assez fréquentes, cependant la forme idiopathique reste très rare et peu de cas ont été rapporté par la littérature. Nous rapportons, à travers d´une observation, le cas d´une forme idiopathique chez une femme de 53 ans.

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La péritonite encapsulante est une affection fibrosante chronique rare mais sévère relative à la constitution d'une sclérose péritonéale partielle ou totale rétractile engainant le tube digestif. De rares formes idiopathiques ont été décrites, la maladie étant en effet le plus souvent secondaire à la dialyse péritonéale ou plus rarement à une chirurgie. Son traitement est difficile et non codifié. Nous rapportons l'observation d'un patient de 36 ans dont le diagnostic de péritonite encapsulante a été porté après un long passé sub-occlusif, huit ans après une perforation d'ulcère gastrique. Nous discutons des possibles étiologies. Enfin, nous effectuons une mise au point sur cette entité rare et peu connue. Encapsulating peritonitis is a rare but severe chronic fibrotic condition related to the development of a white fibrous membrane surrounding the digestive tract. Idiopathic forms have been described, however the disease is most often secondary to peritoneal dialysis or more rarely to surgery. Treatment is difficult and not codified. We report here the observation of a 36-year-old patient whose diagnosis of encapsulating peritonitis was made after a long sub-occlusive history, eight years after a gastric ulcer perforation. We discuss the possible etiologies and we present a focus on this rare and little-known entity. [ABSTRACT FROM AUTHOR]

Copyright of Journal Africain D'Hépato-Gastroentérologie is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Néphrologie & Thérapeutique is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Encapsulating peritonitis is a chronic peritonitis leading to the constitution of the thick white nacred fibrosis membrane. It is a rare affection. Its physiopathology is poorly elucidated. Diagnosis is usually at operation. We report an unpublished case of a 36-year-old patient, admitted for an abdominal mass. The different investigations demonstrated small bowel tumor with entrapped ileal and jejunal loops within a capsule. Diagnosis was made at the time of operation by discovering an encapsulating peritonitis caused by a primary malignant melanoma of the small bowel, which is an exceptional affection. [Copyright &y& Elsevier]