Open AccessSclerosing Encapsulating Carcinomatous Peritonitis: A Case Report
Author(s) -
Saeed Alshomimi,
Ali Hassan,
Zainab Faisal,
Afnan Mohammed,
Omran Al Dandan,
Hind S. Alsaif
Publication year - 2021
Publication title -
saudi journal of medicine and medical sciences
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 2
eISSN - 1658-631X
pISSN - 2321-4856
DOI - 10.4103/sjmms.sjmms_275_19
Subject(s) - medicine , peritonitis , exploratory laparotomy , etiology , bowel obstruction , laparoscopy , peritoneal carcinomatosis , differential diagnosis , disease , rare disease , surgery , cancer , radiology , colorectal cancer , pathology
Sclerosing encapsulating peritonitis (SEP) is a rare clinical condition characterized by the formation of a thick, fibrous membrane encasing the intestines, which may lead to intestinal obstruction. The pathogenesis is not completely understood, but various risk factors are well established. However, there are only few reported cases of SEP associated with peritoneal carcinomatosis. Herein, we report a case of a 69-year-old male patient who presented clinically with acute intestinal obstruction 2 years after undergoing a resection procedure for gastric cancer. An abdominal computed tomography revealed findings typical of SEP. Consequently, the patient underwent exploratory laparoscopy, which confirmed the diagnosis of SEP and established the etiology as peritoneal metastases. The patient was managed conservatively, and his symptoms showed some improvement. The patient was at an advanced stage of the disease, and thus remained on palliative care and passed away 1 month later. Although very rare, physicians should consider SEP in their differential diagnoses of intestinal obstruction in patients, particularly in those with a history of intra-abdominal malignancies.