Journal of Gastrointestinal & Digestive System
Open Access

Sclerosing Encapsulating Peritonitis: A Mysterious Cause of Small Bowel Obstruction

Jose L Ortiz Fullana^1*, Cristian Mantilla², Omar Rovira Bellido¹, Javier Ruiz Rodriguez¹ and Hiram M Soler Bernardini¹

¹Department of Physiology, St. Luke’s Episcopal Medical Center, Ponce, Puerto Rico, United States

²Department of Physiology, The Universidad Central del Caribe, School of Medicine, Bayamon, Puerto Rico, United States

Received Date: Feb 27, 2023 / Published Date: May 10, 2023

Citation: Fullana JLO, Mantilla C, Bellido OR, Rodriguez JR, Bernardini HMS (2023) Sclerosing Encapsulating Peritonitis: A Mysterious Cause of Small Bowel Obstruction. J Gastrointest Dig Syst 13: 738.

Copyright: © 2023 Fullana JLO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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Sclerosing encapsulating peritonitis, also known as abdominal cocoon, is a rare condition of unknown etiology which results in intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane. A high index of clinical suspicion is required for preoperative diagnosis. The early clinical features are nonspecific and not recognized, which makes a definite preoperative diagnosis difficult. The radiological diagnosis of abdominal cocoon is now made on computed tomography scan. Surgery plays main role in the management of this disease. Careful dissection and excision of the thick sac with the release of the small bowel loops will lead to complete recovery in the vast majority of cases. Here, we are reporting a case of sclerosing encapsulating peritonitis presented with delayed intestinal obstruction.