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 journalArticle

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 Dec 1

Fingerprint

Peritonitis
Hysterectomy
Gestational Trophoblastic Disease
Capsules
Abdomen
Intestinal Obstruction
Pelvis
Laparotomy
Abdominal Pain
Ultrasonography
Tomography
Therapeutics

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

@article{28967c1bf6dd4893834067de0b4f6787,
title = "Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy",
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.",
author = "Won, {Na Suh} and Sang, {Kil Lee} and Chang Hyun and Hye, {Jin Hwang} and Woo, {Jin Hyung} and Young, {Nyun Park} and Tae, {Il Kim}",
year = "2007",
month = "12",
day = "1",
doi = "10.3904/kjim.2007.22.2.125",
language = "English",
volume = "22",
pages = "125--129",
journal = "Korean Journal of Internal Medicine",
issn = "1226-3303",
publisher = "Korean Association of Internal Medicine",
number = "2",

}

Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy. / Won, Na Suh; Sang, Kil Lee; Hyun, Chang; Hye, Jin Hwang; Woo, Jin Hyung; Young, Nyun Park; Tae, Il Kim.

In: Korean Journal of Internal Medicine, Vol. 22, No. 2, 01.12.2007, p. 125-129.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy

AU - Won, Na Suh

AU - Sang, Kil Lee

AU - Hyun, Chang

AU - Hye, Jin Hwang

AU - Woo, Jin Hyung

AU - Young, Nyun Park

AU - Tae, Il Kim

PY - 2007/12/1

Y1 - 2007/12/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=34748917650&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34748917650&partnerID=8YFLogxK

U2 - 10.3904/kjim.2007.22.2.125

DO - 10.3904/kjim.2007.22.2.125

M3 - Article

C2 - 17616031

AN - SCOPUS:34748917650

VL - 22

SP - 125

EP - 129

JO - Korean Journal of Internal Medicine

JF - Korean Journal of Internal Medicine

SN - 1226-3303

IS - 2

ER -