Volume 27, Issue 131, January 2023

Encapsulating peritoneal sclerosis: A case report describing the surgical management of such a dilemma

Khaled Aljohani^1♦, Fayez Aldarsouni², Hosam Alruwaite², Salman Batais², Ali Alfuraydi³, Thamer Nouh⁴

¹Fellow, Trauma & Acute Care Surgery Unit, Department of Surgery, King Saud university medical city, Riyadh, Saudi Arabia
²Medical interns, College of Medicine, King Saud University, Riyadh, Saudi Arabia
³Senior resident, Department of Surgery, King Saud University Medical City, Riyadh, Saudi Arabia
⁴Consultant, Trauma & Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia

^♦Corresponding author
Fellow, Trauma & Acute Care Surgery Unit, Department of Surgery, King Saud university medical city, Riyadh, Saudi Arabia

ABSTRACT

Abdominal Cocoon syndrome is a rare entity of disease that is characterized by an encapsulation of the small bowel resulting in the development of tissue fibrosis of the peritoneal surface. This is a 27 years old male vitally stable with a background of end-stage renal disease (ESRD) who presented to the Emergency department (ED) multiple times with ileus-like symptoms, leukocytosis and critically elevated creatinine soon after, we performed a Computed tomography (CT) that concluded Loculated fluid collections with thickening and enhancement of the peritoneal reflections. The patient was taken to the Operating room (OR) for a laparoscopic adhesiolysis and resection of the cocoon; Encapsulating peritoneal sclerosis (EPS) is a serious dilemma, imaging can raise suspicion of diagnosis and surgery is a crucial management for such an entity with nonspecific clinical and radiological features.

Keywords: Encapsulating peritoneal sclerosis, Sub acute intestinal obstruction, acute abdomen, general surgery, acute care surgery, nephrology, peritoneal dialysis

Medical Science, 2023, 27, e60ms2807

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DOI: https://doi.org/10.54905/disssi/v27i131/e60ms2807

Published: 23 January 2023