Peritonitis esclerosante encapsulantea propósito de un caso

  1. Lorenzo Alfaya, Lucía 1
  2. Baamonde de la Torre, Iván 1
  3. Rosales Goas, Jesús 1
  4. Pablos Vidal, Jorge 1
  5. Rodríguez Carral, Paula 1
  6. Caño Gómez, Paula 1
  1. 1 Servicio de Cirugía General. Complejo Hospitalario Universitario de Ferrol
Journal:
Revista de Cirugía de Galicia

ISSN: 1579-9840

Year of publication: 2024

Issue Title: Revista de Cirugía de Galicia (enero-junio)

Volume: 8

Issue: 10

Pages: 11-15

Type: Article

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Abstract

We present the case of a 68-year-old man who consulted for subocclusion, with recurrent subocclusive crises in the last year. After a torpid evolution, without specific findings in the imaging tests that justify the condition, an exploratory laparoscopy was decided. During surgery, a whitish fibrous shell was observed enveloping the entire intestinal package, suggestive of encapsulating sclerosing peritonitis (ESP), so total resection of the shell was performed. PEE is a rare cause of recurrent intestinal obstruction, the diagnosis of which is usually intraoperative, since it requires high preoperative suspicion. The objective of presenting this case is to show a possible differential diagnosis of intestinal obstruction that may go unnoticed, where the anamnesis plays an important role

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