Kaman Lileswar, Iqbal Javid, Thenozhi Sunil
Department of General Surgery, PGIMER, Chandigarh, India.
J Laparoendosc Adv Surg Tech A. 2010 Apr;20(3):253-5. doi: 10.1089/lap.2010.0024.
Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction. It is difficult to make a definite preoperative diagnosis, and most cases are diagnosed at the time of laparotomy. It is usually of unknown origin, although, at times, it may be seen secondary to a variety of conditions. Spillage of bile and gallstones at laparoscopic cholecystectomy is an unusual cause of SEP and has not been reported in literature, to date. Contrast-enhanced computed tomography of the abdomen revealed small-bowel loops congregated to the center of the abdomen encased by a soft-tissue density mantle with loculated fluid in the interloop bowel location. Excision of the sac and adhesiolysis was done in our patient for recurrent episodes of intestinal obstruction, who recovered well in the postoperative period.
硬化性包裹性腹膜炎（SEP）是肠梗阻的一种罕见病因。术前很难做出明确诊断，大多数病例是在剖腹手术时确诊的。其病因通常不明，不过有时可能继发于多种情况。腹腔镜胆囊切除术中胆汁和胆结石的溢出是SEP的一种不寻常病因，迄今为止文献中尚无报道。腹部增强计算机断层扫描显示小肠袢聚集在腹部中央，被软组织密度的包膜包裹，肠袢间有局限性积液。我们的患者因肠梗阻反复发作接受了包膜切除和粘连松解术，术后恢复良好。
