Encapsulating sclerosing peritonitis : two rare observations and literature review

Tunis Med. 2018 Jan;96(1):68-71.

Abstract

Sclerosing encapsulating peritonitis (SEP) is a rare and little known pathological entity. It is a chronic fibro-inflammatory disease of the peritoneum, resulting in the formation of a thick fibrous membrane, which engages partially or totally the abdominal organs. Clinical and radiological signs make the diagnosis difficult to establish preoperatively. We present two original observations of SEP illustrating different clinical presentations, diagnostic and therapeutic means. His diagnosis requires a peritoneal biopsy. The treatment is not completely established. Surgical treatment is difficult, involving viscerolysis and multiple incisions of the fibrous membrane. Despite the current progress in therapeutic management, the prognosis remains pejorative, with significant mortality.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Pain / diagnosis
  • Abdominal Pain / etiology
  • Abdominal Pain / surgery
  • Adult
  • Digestive System Surgical Procedures
  • Humans
  • Intestinal Obstruction / diagnosis
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / surgery
  • Male
  • Middle Aged
  • Peritoneal Fibrosis / complications
  • Peritoneal Fibrosis / diagnosis*
  • Peritoneal Fibrosis / surgery
  • Peritonitis / complications
  • Peritonitis / diagnosis*
  • Peritonitis / surgery