Encapsulating peritoneal sclerosis
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Diagnosis almost certain
Presentation
Symptoms of subacute intestinal obstruction
Patient Data
Age: 60 years
Gender: Male
From the case:
Encapsulating peritoneal sclerosis
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The stomach and duodenum are dilated up to the duodenojejunal junction.
Nearly all jejunal and ileal loops are enclosed in a thick membrane, resembling a cocoon with intervening peritoneal fluid.
Liver cirrhosis, splenomegaly, and portosystemic collaterals are noted.
Case Discussion
Encapsulating peritoneal sclerosis (also known as abdominal cocoon) is considered a rare cause of small bowel obstruction. It is characterized by total or partial encasement of the small bowel within a thick fibrocollagenous membrane.
In this case, the whole jejunal and ileal loops are encapsulated with a thick band with consequent dilatation of the duodenum and stomach.
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