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Abstract：
BACKGROUND: Sclerosing encapsulating peritonitis (SEP), commonly known as abdominal cocoon syndrome (ACS), is considered one of the rare causes of bowel obstruction [1].
METHODS: In this article, we report the case of a 20-year-old male patient with a 6-month history of recurrent colicky right-sided upper abdominal pain accompanied by nausea, vomiting and bloating, which gradually increased in severity and frequency. The contrast-enhanced abdominal computed tomography suggested a small bowel obstruction with a differential diagnosis of SEP. Later exploratory laparotomy and histopathological examination confirmed the diagnosis of ACS. Intraoperative adhesiolysis was performed and the patient\'s symptoms resolved.
CONCLUSIONS: This syndrome is characterised by the formation of a fibrous-collagenous membrane that partially or completely engulfs the small intestine, less commonly the colon and other abdominal organs. SEP is most commonly associated with long-term peritoneal dialysis, although drugs, peritoneal infection and systemic inflammatory disorders have been implicated. Patients often present with symptoms of partial bowel obstruction, which is difficult to diagnose before laparotomy. Of the available investigations, contrast-enhanced CT of the abdomen is the most sensitive, showing a fibrous sac-like membrane covering the intestinal loops and the fluid collection. Definitive treatment includes excision and adhesiolysis.
CONCLUSIONS: This article presents a rare case and focuses on the management of this pathology with a review of the literature.
METHODS: In this article, we report the case of a 20-year-old male patient with a 6-month history of recurrent colicky right-sided upper abdominal pain accompanied by nausea, vomiting and bloating, which gradually increased in severity and frequency. The contrast-enhanced abdominal computed tomography suggested a small bowel obstruction with a differential diagnosis of SEP. Later exploratory laparotomy and histopathological examination confirmed the diagnosis of ACS. Intraoperative adhesiolysis was performed and the patient\'s symptoms resolved.
CONCLUSIONS: This syndrome is characterised by the formation of a fibrous-collagenous membrane that partially or completely engulfs the small intestine, less commonly the colon and other abdominal organs. SEP is most commonly associated with long-term peritoneal dialysis, although drugs, peritoneal infection and systemic inflammatory disorders have been implicated. Patients often present with symptoms of partial bowel obstruction, which is difficult to diagnose before laparotomy. Of the available investigations, contrast-enhanced CT of the abdomen is the most sensitive, showing a fibrous sac-like membrane covering the intestinal loops and the fluid collection. Definitive treatment includes excision and adhesiolysis.
CONCLUSIONS: This article presents a rare case and focuses on the management of this pathology with a review of the literature.
摘要：
背景：硬化包囊性腹膜炎（SEP），通常被称为腹茧综合征（ACS），被认为是肠梗阻的罕见原因之一[1]。
方法：在本文中，我们报告了一例20岁的男性患者，有6个月的复发性上腹痛伴恶心，呕吐和腹胀,其严重程度和频率逐渐增加。对比增强的腹部计算机断层扫描提示小肠梗阻，并具有SEP的鉴别诊断。后来的剖腹探查和组织病理学检查证实了ACS的诊断。术中进行粘连松解术，患者症状缓解。
结论：该综合征的特征是部分或完全吞噬小肠的纤维胶原膜的形成，不太常见的结肠和其他腹部器官。SEP最常见于长期腹膜透析,虽然药物,腹膜感染和全身性炎症性疾病都有牵连.患者常出现部分性肠梗阻的症状，在剖腹手术前很难诊断.在现有的调查中，腹部增强CT是最敏感的,显示纤维囊样膜覆盖肠环和液体收集。明确治疗包括切除和粘连松解术。
结论：本文介绍了一个罕见的病例，并结合文献对该病理的处理进行了综述。
方法：在本文中，我们报告了一例20岁的男性患者，有6个月的复发性上腹痛伴恶心，呕吐和腹胀,其严重程度和频率逐渐增加。对比增强的腹部计算机断层扫描提示小肠梗阻，并具有SEP的鉴别诊断。后来的剖腹探查和组织病理学检查证实了ACS的诊断。术中进行粘连松解术，患者症状缓解。
结论：该综合征的特征是部分或完全吞噬小肠的纤维胶原膜的形成，不太常见的结肠和其他腹部器官。SEP最常见于长期腹膜透析,虽然药物,腹膜感染和全身性炎症性疾病都有牵连.患者常出现部分性肠梗阻的症状，在剖腹手术前很难诊断.在现有的调查中，腹部增强CT是最敏感的,显示纤维囊样膜覆盖肠环和液体收集。明确治疗包括切除和粘连松解术。
结论：本文介绍了一个罕见的病例，并结合文献对该病理的处理进行了综述。
