Zhang Zhenbin, Zhang Menglai, Li Ling
Department of Gastrointestinal Surgery, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Department of Intensive Care Unit, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
J Int Med Res. 2020 Aug;48(8):300060520949104. doi: 10.1177/0300060520949104.
Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed "cauliflower sign" in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.
硬化性包裹性腹膜炎（SEP）是一种临床上很少见的疾病。SEP的术前诊断可能很困难。然而，借助成像技术，如计算机断层扫描（CT），无需手术和病理分析即可诊断出这种疾病。SEP的特征是小肠部分或完全被一层类似于茧的灰白色纤维胶原膜包裹。SEP最常见的症状是腹痛、恶心和呕吐。SEP常导致肠梗阻。我院治疗了3例主诉急性或慢性腹痛的急诊患者。CT显示2例有“菜花征”。这3例患者术中均被诊断为SEP。在1例有腹水的女性患者中，情况极其严重，且此前对此情况尚无详细报道。幸运的是，所有患者均无并发症出院。我们应特别关注有腹水的SEP患者，这表明情况严重。
