Sclerosing encapsulating peritonitis: Difference between revisions

Jump to navigation Jump to search
Line 31: Line 31:
==Differential Diagnosis==
==Differential Diagnosis==


SEP may be confused with congenital peritoneal encapsulation, which is characterized by a thin accessory peritoneal sac surrounding the small bowel. This asymptomtic condition is generally found incidentally during unrelated surgery and does not fit with the clinical or imaging findings in this group of patients.
Sclerosing encapsulating peritonitis may be confused with congenital peritoneal encapsulation, which is characterized by a thin accessory peritoneal sac surrounding the small bowel. This asymptomtic condition is generally found incidentally during unrelated surgery and does not fit with the clinical or imaging findings in this group of patients.


==Diagnosis==
==Diagnosis==

Revision as of 10:30, 17 March 2009

Sclerosing encapsulating peritonitis

WikiDoc Resources for Sclerosing encapsulating peritonitis

Articles

Most recent articles on Sclerosing encapsulating peritonitis

Most cited articles on Sclerosing encapsulating peritonitis

Review articles on Sclerosing encapsulating peritonitis

Articles on Sclerosing encapsulating peritonitis in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Sclerosing encapsulating peritonitis

Images of Sclerosing encapsulating peritonitis

Photos of Sclerosing encapsulating peritonitis

Podcasts & MP3s on Sclerosing encapsulating peritonitis

Videos on Sclerosing encapsulating peritonitis

Evidence Based Medicine

Cochrane Collaboration on Sclerosing encapsulating peritonitis

Bandolier on Sclerosing encapsulating peritonitis

TRIP on Sclerosing encapsulating peritonitis

Clinical Trials

Ongoing Trials on Sclerosing encapsulating peritonitis at Clinical Trials.gov

Trial results on Sclerosing encapsulating peritonitis

Clinical Trials on Sclerosing encapsulating peritonitis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Sclerosing encapsulating peritonitis

NICE Guidance on Sclerosing encapsulating peritonitis

NHS PRODIGY Guidance

FDA on Sclerosing encapsulating peritonitis

CDC on Sclerosing encapsulating peritonitis

Books

Books on Sclerosing encapsulating peritonitis

News

Sclerosing encapsulating peritonitis in the news

Be alerted to news on Sclerosing encapsulating peritonitis

News trends on Sclerosing encapsulating peritonitis

Commentary

Blogs on Sclerosing encapsulating peritonitis

Definitions

Definitions of Sclerosing encapsulating peritonitis

Patient Resources / Community

Patient resources on Sclerosing encapsulating peritonitis

Discussion groups on Sclerosing encapsulating peritonitis

Patient Handouts on Sclerosing encapsulating peritonitis

Directions to Hospitals Treating Sclerosing encapsulating peritonitis

Risk calculators and risk factors for Sclerosing encapsulating peritonitis

Healthcare Provider Resources

Symptoms of Sclerosing encapsulating peritonitis

Causes & Risk Factors for Sclerosing encapsulating peritonitis

Diagnostic studies for Sclerosing encapsulating peritonitis

Treatment of Sclerosing encapsulating peritonitis

Continuing Medical Education (CME)

CME Programs on Sclerosing encapsulating peritonitis

International

Sclerosing encapsulating peritonitis en Espanol

Sclerosing encapsulating peritonitis en Francais

Business

Sclerosing encapsulating peritonitis in the Marketplace

Patents on Sclerosing encapsulating peritonitis

Experimental / Informatics

List of terms related to Sclerosing encapsulating peritonitis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Synonyms and Related Keywords: Abdominal cocoon, sclerosing peritonitis, encapsulating peritonitis, peritonitis chronica fibrosa incapsulata. [1]

Overview

Sclerosing encapsulating peritonitis (SEP) is a rare benign cause of acute or subacute small bowel obstruction. It is characterized by total or partial encasement of the small bowel within a thick fibrocollagenous membrane.

Etiology

Differential Diagnosis

Sclerosing encapsulating peritonitis may be confused with congenital peritoneal encapsulation, which is characterized by a thin accessory peritoneal sac surrounding the small bowel. This asymptomtic condition is generally found incidentally during unrelated surgery and does not fit with the clinical or imaging findings in this group of patients.

Diagnosis

  • Radiographs of the abdomen can show air-fluid levels similar to those in patients with any other cause of small-bowel obstruction.
  • In the appropriate clinical setting, recognition of the entire dilated small bowel at the center of the abdomen and encased within a thick fibrocollageneous membrane, as though it were in a cocoon, on a CT image is diagnostic of SEP.
  • The other imaging findings may include signs of obstruction, fixation of intestinal loops, ascites or localized fluid collections, bowel wall thickening, peritoneal or mural calcification, and reactive adenopathy.

Diagnostic Findings

Patient #1: CT and gross pathological images demonstrate sclerosing encapsulating peritonitis. The patient was on long term peritoneal dialysis

Images courtesy of RadsWiki

References

  1. Mustafa Kemal Demir, Okan Akinci, Ender Onur, and Neset Koksal. Case 108: Sclerosing Encapsulating Peritonitis. Radiology 2007 242: 937-939.

See Also

External Links



Template:Gastroenterology Template:SIB


Template:WikiDoc Sources