Chronic Encapsulated Sclerosing Peritonitis: A Case Report

TL;DR

This paper reports a rare case of chronic encapsulated sclerosing peritonitis, a condition causing intestinal obstruction with limited understanding and high risks.

Contribution

The paper contributes a detailed case report highlighting the diagnostic and treatment challenges of a rare condition.

Findings

CESP is a rare cause of intestinal obstruction with high morbidity and mortality.

Diagnosis is often made during surgery, though imaging can support pre-surgical identification.

Treatment varies between corticosteroids and surgery depending on the clinical context.

Abstract

Chronic encapsulated sclerosing peritonitis (CESP) is a very rare cause of intestinal obstruction that has been associated with certain chronic conditions. It is characterized by the thickening of the peritoneum, generating a membrane that covers the intestinal loops and prevents their adequate mobilization. Most cases present as a surgical emergency, leading to a diagnosis during surgery; however, imaging studies can support the pre-surgical diagnosis. Treatment is based on the clinical context of the patient, based on medical management with corticosteroids in a stable patient, or surgical management when it presents as an acute complication. The morbidity and mortality associated with this condition are high and epidemiological data are scarce. There is still a lack of studies to describe the associated demographic data, diagnosis, and treatment.

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