[Encapsulant peritonitis]

Rev Med Interne. 2020 Feb;41(2):130-133. doi: 10.1016/j.revmed.2019.09.006. Epub 2019 Oct 18.
[Article in French]

Abstract

Introduction: Encapsulating peritonitis is a rare but severe chronic fibrotic condition related to the development of a white fibrous membrane surrounding the digestive tract. Idiopathic forms have been described, however the disease is most often secondary to peritoneal dialysis or more rarely to surgery. Treatment is difficult and not codified.

Case report: We report here the observation of a 36-year-old patient whose diagnosis of encapsulating peritonitis was made after a long sub-occlusive history, eight years after a gastric ulcer perforation.

Discussion: We discuss the possible etiologies and we present a focus on this rare and little-known entity.

Keywords: Chronic peritonitis; Encapsulating peritonitis sclerosis; Fibrose; Fibrosis; Péritonite chronique; Péritonite encapsulante; Tamoxifene; Tamoxifène.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Delayed Diagnosis
  • Diagnosis, Differential
  • Humans
  • Intestinal Obstruction / complications
  • Intestinal Obstruction / diagnosis*
  • Intestinal Obstruction / drug therapy
  • Intestinal Obstruction / surgery
  • Laparotomy
  • Male
  • Peptic Ulcer / complications
  • Peptic Ulcer / diagnosis
  • Peptic Ulcer / drug therapy
  • Peptic Ulcer / surgery
  • Peptic Ulcer Perforation / complications
  • Peptic Ulcer Perforation / diagnosis
  • Peptic Ulcer Perforation / drug therapy
  • Peptic Ulcer Perforation / surgery
  • Peritoneal Fibrosis / diagnosis*
  • Peritoneal Fibrosis / drug therapy
  • Peritoneal Fibrosis / surgery
  • Peritonitis / complications
  • Peritonitis / diagnosis*
  • Peritonitis / drug therapy
  • Peritonitis / surgery
  • Tamoxifen / therapeutic use

Substances

  • Tamoxifen