PDF(Pubmed)
Abstract：
An uncommon cause of intestinal obstruction is an abdominal cocoon, also known as sclerosing encapsulating peritonitis (SEP). We present the case of a 24-year-old female peritoneal dialysis patient who presented with a picture of complete intestinal obstruction. After reviewing the patient\'s medical history and acquiring relevant laboratory and imaging data, the decision was made to proceed with surgery. Intraoperatively, however, she had a picture of sclerosing peritonitis. The decision was to terminate the surgery and to take a conservative approach, including total parenteral nutrition. Her condition improved, obstruction was resolved, and she was discharged home in good clinical condition. Sclerosing peritonitis should be considered a possible etiology that can be managed conservatively in any peritoneal dialysis patient with intestinal obstruction.
摘要：
肠梗阻的罕见原因是腹部茧，也称为硬化包囊性腹膜炎（SEP）。我们介绍了一名24岁女性腹膜透析患者的情况，该患者表现出完全肠梗阻的图片。在回顾患者病史并获取相关实验室和影像学资料后，决定进行手术。术中,然而,她有一张硬化性腹膜炎的照片。决定终止手术并采取保守的方法，包括全胃肠外营养。她的病情好转了,梗阻解决了,她在良好的临床状况下出院回家。硬化性腹膜炎应被视为可能的病因，可在任何患有肠梗阻的腹膜透析患者中保守治疗。
