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Title: An intraoperative diagnosis of sclerosing encapsulating peritonitis: A case report.
Epworth Authors: Sivakumar, J
Brown, G
Choi, J
Other Authors: Galea, L
Keywords: Gastroenterology
Colorectal Surgery
Intraoperative Care
Clinical Institute General Surgery and Gastroenterology, Epworth Healthcare, Richmond, Victoria, Australia.
Issue Date: Sep-2020
Publisher: Oxford University Press
Citation: J Surg Case Rep . 2020 Sep 10;2020(9):rjaa329
Abstract: Primary sclerosing encapsulating peritonitis (SEP) is an idiopathic and rare condition characterized by chronic peritoneal inflammation. We describe the case of an intraoperative diagnosis of SEP, presenting as a mimicker of small bowel obstruction. The patient was a 59-year-old male with suspected small bowel obstruction. On exploratory laparotomy, it was noted that there was thick fibrous tissue involving the visceral and parietal peritoneum enveloping grossly dilated loops of small bowel. This case reports on the histopathological features of peritoneal biopsies as well as radiological findings. There is no consensus regarding the standard management for idiopathic SEP. The present case demonstrates a significant improvement in the patient's condition with conservative management alone. A critical teaching point is that in the absence of an obvious cause, SEP is a rare but important differential diagnosis for surgeons to consider in the context of recurrent bowel obstruction.
DOI: doi: 10.1093/jscr/rjaa329
PubMed URL:
ISSN: 2042-8812
Journal Title: Journal of Surgical Case Reports
Type: Journal Article
Affiliated Organisations: Department of Surgery, University of Melbourne, Melbourne, VIC, Australia.
Department of Anatomical Pathology, Melbourne Pathology, Melbourne, VIC, Australia.
Type of Clinical Study or Trial: Case Reports
Appears in Collections:General Surgery and Gastroenterology

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