A problem encapsulated – role of CT

Case report

English

Anuj Mishra 1, ElHousieni Mabrouk2 , Ali Ferjani 2, Mahjoub Rishi 2, Fathi Ebshina 2, Ehtuish Farag Ehtuish 2

1-Department of Radiology, National Organ Transplant Program, Central Hospital, Tripoli, Libya; 2-Department of Surgery, Central Hospital, AlFatah University of Medical Sciences, Tripoli, Libya

Libyan J Med 2010, 5: 4901 – DOI: 10.3402/ljm.v5i0.4901

Abstract

Sclerosing encapsulating peritonitis (SEP) is a rare but serious complication of abdominal surgery, recurrent peritonitis, and continuous ambulatory peritoneal dialysis with a high morbidity and mortality. The etiology of this condition is largely unknown. Diagnosis is usually established at laparotomy in patients with recurrent attacks of non-strangulating, small bowel obstruction. We report a case of a patient who presented with intestinal obstruction and who showed typical CT findings of SEP which was diagnosed pre-operatively on a CT scan and confirmed at surgery. The interest of this case lies in its rarity and difficult pre-operative diagnosis.

Keywords: sclerosing encapsulating peritonitis; abdominal surgery; peritoneal dialysis

Link/DOI: http://www.libyanjournalofmedicine.net/index.php/ljm/article/view/4901/5487