Alshomimi Saeed, Hassan Ali, Faisal Zainab, Mohammed Afnan, Al Dandan Omran, Alsaif Hind S
Department of General Surgery, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.
Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.
Saudi J Med Med Sci. 2021 Jan-Apr;9(1):63-66. doi: 10.4103/sjmms.sjmms_275_19. Epub 2020 Oct 13.
Sclerosing encapsulating peritonitis (SEP) is a rare clinical condition characterized by the formation of a thick, fibrous membrane encasing the intestines, which may lead to intestinal obstruction. The pathogenesis is not completely understood, but various risk factors are well established. However, there are only few reported cases of SEP associated with peritoneal carcinomatosis. Herein, we report a case of a 69-year-old male patient who presented clinically with acute intestinal obstruction 2 years after undergoing a resection procedure for gastric cancer. An abdominal computed tomography revealed findings typical of SEP. Consequently, the patient underwent exploratory laparoscopy, which confirmed the diagnosis of SEP and established the etiology as peritoneal metastases. The patient was managed conservatively, and his symptoms showed some improvement. The patient was at an advanced stage of the disease, and thus remained on palliative care and passed away 1 month later. Although very rare, physicians should consider SEP in their differential diagnoses of intestinal obstruction in patients, particularly in those with a history of intra-abdominal malignancies.
硬化性包裹性腹膜炎（SEP）是一种罕见的临床病症，其特征是形成包裹肠道的厚纤维膜，这可能导致肠梗阻。其发病机制尚未完全明确，但多种危险因素已明确。然而，仅有少数关于SEP与腹膜癌病相关的病例报道。在此，我们报告一例69岁男性患者，该患者在接受胃癌切除手术后2年临床上出现急性肠梗阻。腹部计算机断层扫描显示出SEP的典型表现。因此，患者接受了 exploratory laparoscopy（此处英文有误，应是exploratory laparotomy，即剖腹探查术），这证实了SEP的诊断并确定病因是腹膜转移。患者接受了保守治疗，其症状有一定改善。患者处于疾病晚期，因此继续接受姑息治疗，1个月后去世。尽管非常罕见，但医生在对肠梗阻患者进行鉴别诊断时应考虑SEP，尤其是那些有腹腔内恶性肿瘤病史的患者。
