A Rare Case of Sclerosing Encapsulating Peritonitis Secondary To Tuberculosis
Nirupam Konwar Baishya 1 * More Detail
1 Department of Radiology, Fakhruddin Ali Ahmed Medical College & Hospital, Barpeta, India
* Corresponding Author
J CLIN MED KAZ, Volume 21, Issue 2, pp. 99-101.
https://doi.org/10.23950/jcmk/14489
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Author Contributions: Conceptualization, formal analysis, investigation, methodology, project administration, supervision; validation, visualization, roles/writing – original draft, writing – review and editing, N.K.B. The author has read and agreed to the published version of the manuscript.
ABSTRACT
Sclerosing encapsulating peritonitis is a relatively rare, potentially life-threatening condition that causes intestinal loops to become encapsulated as a fibro-collagen cocoon. Despite advances in treatment, mortality is high. It shows vague clinical signs and is therefore difficult to diagnose clinically. Abdominal Contrast Enhanced CT (CECT) is an excellent modality for diagnosing the condition, assessing its complications such as perforation, and guiding the treatment approach to the condition. This case report highlights a rare case of sclerosing encapsulating peritonitis in a young adult secondary to tuberculosis. Although the most common secondary cause of SPE is peritoneal dialysis, consideration of tuberculosis as a cause of such a condition is very important, especially in the Indian context.
REFERENCES
- Machado, N. O. (2016b). Sclerosing Encapsulating Peritonitis: review. Sultan Qaboos University Medical Journal, 16(2), e142-151. https://doi.org/10.18295/squmj.2016.16.02.003
- Akbulut, S. (2015). Accurate definition and management of idiopathic sclerosing encapsulating peritonitis. World Journal of Gastroenterology, 21(2), 675. https://doi.org/10.3748/wjg.v21.i2.675
- Kirshtein, B., Mizrahi, S., Sinelnikov, I., & Lantsberg, L. (2010). Abdominal cocoon as a rare cause of small bowel obstruction in an elderly man: Report of a case and review of the literature. Indian Journal of Surgery, 73(1), 73–75. https://doi.org/10.1007/s12262-010-0200-7
- Tannoury, J., & Abboud, B. (2012). Idiopathic sclerosing encapsulating peritonitis: Abdominal cocoon. World Journal of Gastroenterology, 18(17), 1999. https://doi.org/10.3748/wjg.v18.i17.1999
- Stuart, S., Stott, D. J., Goode, A., Cash, C., & Davenport, A. (2016). Can radiological assessment of abdominal computerized scans diagnose encapsulating peritoneal sclerosis in long‐term peritoneal dialysis patients? Nephrology, 22(1), 19–24. https://doi.org/10.1111/nep.12718
- Kaur, R., Chauhan, D., Dalal, U., & Khurana, U. (2011). Abdominal cocoon with small bowel obstruction: two case reports. Abdominal Radiology, 37(2), 275–278. https://doi.org/10.1007/s00261-011-9754-5
- Shah, M. Y. S., Gedam, B., Sonarkar, R., & Gopinath, K. S. (2012). Abdominal cocoon: an unusual cause of subacute intestinal obstruction. Indian Journal of Surgery, 75(S1), 391–393. https://doi.org/10.1007/s12262-012-0582-9
- Oran, E., Kudsi, O. Y., Besleyici, C., Ünsal, A., & Alış, H. (2015). Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis. Annals of Medicine and Surgery, 4(3), 205–207. https://doi.org/10.1016/j.amsu.2015.03.006
- Cornelis, T., & Oreopoulos, D. G. (2010). Update on potential medical treatments for encapsulating peritoneal sclerosis; human and experimental data. International Urology and Nephrology, 43(1), 147–156. https://doi.org/10.1007/s11255-010-9744-5
- Jain, P., & Nijhawan, S. (2008). Tuberculous Abdominal Cocoon: A case Report and Review of the literature. The American Journal of Gastroenterology, 103(6), 1577–1578. https://doi.org/10.1111/j.1572-0241.2008.01880_11.x