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Idiopathic sclerosing encapsulating peritonitis in an adult male with intermittent subacute bowel obstruction, preoperative multidetector-row CT (MDCT) diagnosis.
- Source :
-
BMJ case reports [BMJ Case Rep] 2011 Aug 29; Vol. 2011. Date of Electronic Publication: 2011 Aug 29. - Publication Year :
- 2011
-
Abstract
- 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.
- Subjects :
- Adult
Diagnosis, Differential
Humans
Intestinal Obstruction surgery
Male
Peritonitis surgery
Sclerosis complications
Sclerosis diagnostic imaging
Sclerosis surgery
Intestinal Obstruction diagnostic imaging
Intestinal Obstruction etiology
Peritonitis complications
Peritonitis diagnostic imaging
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2011
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 22689278
- Full Text :
- https://doi.org/10.1136/bcr.07.2011.4448