Title: Idiopathic Sclerosing Encapsulated Peritonitis- Case Series and Review of Literature

Authors: Gulab Dhar Yadav, Ramendra Kumar Jauhari, Anurag Singh, Ujjwal Pal Singh, Amulya Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.84

Abstract

Introduction: Idiopathic Sclerosing encapsulated peritonitis (SEP) is a rare cause of recurrent intestinal obstruction mainly in young and adolescent females from tropical and subtropical regions. SEP can be primarily classified as idiopathic or secondary-due to some known etiology.

Case Summary: During a period of eight years we encountered five cases of idiopathic SEP. All patients presented with recurrent intestinal obstruction and managed operatively.

Discussion: SEP is a rare condition in the clinics. Etiology is relatively unknown. Most cases are diagnosed incidentally at laparotomy, and a better awareness of this entity and the imaging techniques may facilitate pre-operative diagnosis.

Conclusion: Primarily the diagnosis is made incidentally at laparotomy. Management of SEP is debated. But most clinicians agreed that surgical treatment is required in symptomatic patients.

Keywords: Idiopathic, Sclerosing, Encapsulating peritonitis, fibrous capsule.

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