Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy

Na Suh Won, Kil Lee Sang, Chang Hyun, Jin Hwang Hye, Jin Hyung Woo, Nyun Park Young, Il Kim Tae

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Sclerosing encapsulating peritonitis (SEP) is a poorly understood and rarely documented cause of small bowel obstruction. Although recurrent peritonitis has been reported as the main contributory factor leading to secondary SEP, the pathogenesis of primary (idiopathic) SEP is still uncertain. A 40-year-old woman with a history of total abdominal hysterectomy due to gestational trophoblastic disease presented with progressive lower abdominal pain and abdominal distension. Ultrasonography and contrast-enhanced abdomen-pelvis computed tomography of the abdomen revealed encapsulation of the entire small bowel with a sclerotic capsule. At laparotomy, a fibrous thick capsule encasing small bowel loops was revealed. Extensive adhesiolysis and removal of the capsule from the bowel loops were performed. The patient recovered uneventfully; she was discharged without complications. SEP is a rare cause of small bowel obstruction. We treated a case of abdominal cocoon with intestinal partial obstruction in a woman with a history of abdominal hysterectomy due to gestational trophoblastic disease. Surgical treatment was effective and the patient recovered without complication.

Original languageEnglish
Pages (from-to)125-129
Number of pages5
JournalKorean Journal of Internal Medicine
Volume22
Issue number2
DOIs
Publication statusPublished - 2007

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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