Wetherell Joseph, Woolley Katherine, Chadha Rishi, Kostka Julia, Adilovic Edin, Nepal Pankaj
Frank H. Netter School of Medicine, Quinnipiac University, Hamden, CT, USA.
Internal Medicine, St Vincent's Medical Center, Bridgeport, CT, USA.
Case Rep Gastrointest Med. 2021 Apr 7;2021:6695806. doi: 10.1155/2021/6695806. eCollection 2021.
Sclerosing encapsulating peritonitis is a rare condition caused by a fibrotic membrane covering the small bowel which may lead to abdominal pain or obstruction. The cause may be primary and idiopathic or secondary to several diseases, treatments, and/or medications. The condition typically presents with bowel obstruction, and only one previous case has described ascites as the presenting sign. Sclerosing encapsulating peritonitis is typically diagnosed intraoperatively. We present a case of a patient who presented with atypical clinical symptoms including respiratory distress, recurrent abdominal ascites, and failure to thrive who was diagnosed nonoperatively.
硬化性包裹性腹膜炎是一种罕见疾病,由覆盖小肠的纤维膜引起,可导致腹痛或肠梗阻。病因可能是原发性和特发性的,也可能继发于多种疾病、治疗和/或药物。该疾病通常表现为肠梗阻,此前仅有一例将腹水作为首发症状。硬化性包裹性腹膜炎通常在术中诊断。我们报告一例患者,其表现为非典型临床症状,包括呼吸窘迫、反复腹腔积液和发育不良,该患者通过非手术方式确诊。