Abdominal cocoon syndrome (sclerosing encapsulated peritonitis) causing small bowel occlusion in a patient with gastric bypass.

Florencia Lucero-Serrano, Antonio Herrera-González, Carlos Valenzuela-Salazar, Óscar E Sánchez-Castro, Carlos Zerrweck
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Abstract

A rare condition, sclerosing encapsulating peritonitis, is characterized by a fibrotic membrane forming over the bowels, leading to intestinal obstruction. In this case of a 56-year-old male patient with a history of laparoscopic gastric bypass, a computed tomography scan showed findings indicative of the condition. Extensive adhesiolysis was performed, and biopsies confirmed the presence of fusiform cells (D2-40 positive on immunochemistry) resembling fibroblasts, within dense collagenous peritoneal tissue sheets, typical of sclerosing encapsulating peritonitis. The prevalence of this condition is uncertain, and diagnosis typically requires a peritoneal biopsy due to the nonspecific clinical presentation.

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一名胃旁路手术患者因腹部蚕茧综合征(硬化性包裹性腹膜炎)导致小肠闭塞。
硬化性包裹性腹膜炎是一种罕见的疾病,其特点是肠道上形成一层纤维膜,导致肠梗阻。本例患者是一名 56 岁的男性,曾做过腹腔镜胃旁路手术,计算机断层扫描结果显示他患有这种疾病。患者接受了广泛的粘连溶解术,活检证实在致密的胶原腹膜组织片中存在类似成纤维细胞的纺锤形细胞(免疫化学检测呈 D2-40 阳性),这是典型的硬化性包裹性腹膜炎。这种疾病的发病率尚不确定,由于临床表现无特异性,诊断通常需要进行腹膜活检。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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