Sclerosing encapsulating peritonitis: Difference between revisions
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* SEP can be idiopathic or mainly secondary to chronic ambulatory peritoneal dialysis, peritoneovenous or ventriculoperitoneal shunts, or treatment with practolol. | * SEP can be idiopathic or mainly secondary to chronic ambulatory peritoneal dialysis, peritoneovenous or ventriculoperitoneal shunts, or treatment with practolol. | ||
* Various abdominal disorders such as [[tuberculosis]], [[sarcoidosis]], [[familial mediterranean fever]], gastrointestinal malignancy, [[protein S deficiency]], [[liver transplantation]], fibrogenic foreign material and luteinized ovarian thecomas are the other rare causative factors. | * Various abdominal disorders such as [[tuberculosis]], [[sarcoidosis]], [[familial mediterranean fever]], gastrointestinal malignancy, [[protein S deficiency]], [[liver transplantation]], fibrogenic foreign material and luteinized ovarian thecomas are the other rare causative factors. | ||
==Differential Diagnosis== | |||
SEP may be confused with [[congenital peritoneal encapsulation]], which is characterized by a thin accessory peritoneal sac surrounding the small bowel. This asymptomtic condition is generally found incidentally during unrelated surgery and does not fit with the clinical or imaging findings in this group of patients. | |||
==References== | ==References== |
Revision as of 10:16, 17 March 2009
Sclerosing encapsulating peritonitis |
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Synonyms and Related Keywords: Abdominal cocoon, sclerosing peritonitis, encapsulating peritonitis, peritonitis chronica fibrosa incapsulata.
Overview
Sclerosing encapsulating peritonitis (SEP) is a rare benign cause of acute or subacute small bowel obstruction. It is characterized by total or partial encasement of the small bowel within a thick fibrocollagenous membrane.
Etiology
- SEP can be idiopathic or mainly secondary to chronic ambulatory peritoneal dialysis, peritoneovenous or ventriculoperitoneal shunts, or treatment with practolol.
- Various abdominal disorders such as tuberculosis, sarcoidosis, familial mediterranean fever, gastrointestinal malignancy, protein S deficiency, liver transplantation, fibrogenic foreign material and luteinized ovarian thecomas are the other rare causative factors.
Differential Diagnosis
SEP may be confused with congenital peritoneal encapsulation, which is characterized by a thin accessory peritoneal sac surrounding the small bowel. This asymptomtic condition is generally found incidentally during unrelated surgery and does not fit with the clinical or imaging findings in this group of patients.
References