Journal article
Sclerosing Encapsulating Carcinomatous Peritonitis: A Case Report

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Publication Details
Author list: Saeed Alshomimi, Ali Hassan, Zainab Faisal, Afnan Mohammed, Omran Al Dandan, and Hind S. Alsaif
Publisher: Medknow Publications
Publication year: 2021
Journal: Saudi Journal of Medicine and Medical Sciences
Journal acronym: SJMMS
Volume number: 9
Issue number: 1
Start page: 63
End page: 66
Number of pages: 4
ISSN: 1658-631X
Web of Science ID:
PubMed ID: 33519346
Scopus ID:
eISSN: 2321-4856

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.

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Last updated on 2021-21-03 at 14:55