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Sclerosing Encapsulating Peritonitis

Department of Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, USA
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2012, 4(1), e3;
Submission received: 20 October 2011 / Revised: 22 February 2012 / Accepted: 22 February 2012 / Published: 12 March 2012


Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction. This entity has been reported as either primary idiopathic or secondary to other diseases. We report SEP in 2 cirrhotic patients and review the literature. Both patients had decompensated cirrhosis and episodes of spontaneous bacterial peritonitis. One patient underwent a Denver shunt placement before developing SEP. This patient remains alive and is managed conservatively. The other patient deceased from multi-organ failure after the resection of gangrened small bowel. The manifestations of SEP are often nonspecific that leads to misdiagnosis and/or delayed diagnosis. Early diagnosis of SEP is difficult but not impossible. Surgical treatment is often required when intestinal obstruction is present. Nevertheless, patients with this problem can be treated conservatively with immunosuppressive therapy with or without total parenteral nutrition (TPN) before going for surgery.
Keywords: peritonitis; abdominal cocoon; scle- rosing encapsulating peritonitis; Intestinal obstruction peritonitis; abdominal cocoon; scle- rosing encapsulating peritonitis; Intestinal obstruction

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MDPI and ACS Style

Pan, J.-J.; Thosani, N.; Fallon, M.B. Sclerosing Encapsulating Peritonitis. Gastroenterol. Insights 2012, 4, e3.

AMA Style

Pan J-J, Thosani N, Fallon MB. Sclerosing Encapsulating Peritonitis. Gastroenterology Insights. 2012; 4(1):e3.

Chicago/Turabian Style

Pan, Jen-Jung, Nirav Thosani, and Michael B. Fallon. 2012. "Sclerosing Encapsulating Peritonitis" Gastroenterology Insights 4, no. 1: e3.

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