Cohen O, Abrahamson J, Ben-Ari J, Frajewicky V, Eldar S
Department of Surgery A, Carmel Hospital, Haifa, Israel.
J Clin Gastroenterol. 1996 Jan;22(1):54-7. doi: 10.1097/00004836-199601000-00016.
Sclerosing encapsulating peritonitis (SEP), idiopathic or secondary, is a form of intraperitoneal fibrosclerosis that causes intestinal obstruction. In the case of a 41-year-old man with dialysis-induced SEP presented here, we show that intraperitoneal hemorrhage may play an important pathogenetic role and that the process may develop in < or = 12 weeks. Regardless of cause, the treatment of obstruction is operative, with dissection of the encasing membrane from the intestine and separation of adherent loops of small bowel until they are laid free and returned to their normal configuration. The prognosis after appropriate operative therapy is good but depends on coexisting diseases.
硬化性包裹性腹膜炎（SEP），可为特发性或继发性，是一种引起肠梗阻的腹膜内纤维化形式。在此呈现的一名41岁因透析诱发SEP的男性病例中，我们发现腹腔内出血可能起重要的致病作用，且该过程可能在12周内或更短时间内发展。无论病因如何，梗阻的治疗均需手术，即从肠管上剥离包裹性膜并分离粘连的小肠袢，直至它们松解并恢复正常形态。适当的手术治疗后的预后良好，但取决于并存疾病。
