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Sclerosing Encapsulating Peritonitis (Abdominal Cocoon) after Abdominal Hysterectomy

Authors
 Won Na Suh  ;  Sang Kil Lee  ;  Tae Il Kim  ;  Young Nyun Park  ;  Woo Jin Hyung  ;  Hye Jin Hwang  ;  Hyun Chang 
Citation
 Korean Journal of Medicine, Vol.22(2) : 125-129, 2007 
Journal Title
 Korean Journal of Medicine 
ISSN
 1738-9364 
Issue Date
2007
Abstract
Sclerosing encapsulating peritonitis (SEP) is a poorly understood and rarely documented cause of small bowel obstruction. Although recurrent peritonitis has been reported as the main contributory factor leading to secondary SEP, the pathogenesis of primary (idiopathic) SEP is still uncertain. A 40-year-old woman with a history of total abdominal hysterectomy due to gestational trophoblastic disease presented with progressive lower abdominal pain and abdominal distension. Ultrasonography and contrast-enhanced abdomen-pelvis computed tomography of the abdomen revealed encapsulation of the entire small bowel with a sclerotic capsule. At laparotomy, a fibrous thick capsule encasing small bowel loops was revealed. Extensive adhesiolysis and removal of the capsule from the bowel loops were performed. The patient recovered uneventfully; she was discharged without complications. SEP is a rare cause of small bowel obstruction. We treated a case of abdominal cocoon with intestinal partial obstruction in a woman with a history of abdominal hysterectomy due to gestational trophoblastic disease. Surgical treatment was effective and the patient recovered without complication.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김태일(Kim, Tae Il) ORCID logo https://orcid.org/0000-0003-4807-890X
박영년(Park, Young Nyun) ORCID logo https://orcid.org/0000-0003-0357-7967
서원나(Suh, Won Na)
이상길(Lee, Sang Kil) ORCID logo https://orcid.org/0000-0002-0721-0364
장현(Chang, Hyun)
형우진(Hyung, Woo Jin) ORCID logo https://orcid.org/0000-0002-8593-9214
황혜진(Hwang, Hye Jin)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97662
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