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| http://dx.doi.org/10.2169/internalmedicine.1743-23 | DOI Listing |
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A Case Series and Brief Review of Literature on Encapsulating Peritoneal Sclerosis: Unveiling the Cocoon.
Cureus
November 2024
Radiodiagnosis, Amrita Institute of Medical Sciences, Kochi, IND.
This case series explores four distinct instances of encapsulating peritoneal sclerosis (EPS), a rare but serious condition characterized by the encapsulation of abdominal viscera, commonly referred to as abdominal cocoon. EPS is associated with severe complications, including bowel obstruction and sepsis, which can significantly impact patient outcomes. The first case involves a 41-year-old male patient who had undergone a liver transplant and ultimately succumbed to extensively drug-resistant (XDR) sepsis.
View Article and Find Full Text PDFIdiopathic encapsulating peritoneal sclerosis: A case report.
Int J Surg Case Rep
November 2024
B Surgery Department, Charles Nicolle Hospital, Tunis, Tunisia.
Article Synopsis
- Encapsulating peritoneal sclerosis (EPS) is a rare condition that can present symptoms similar to other diseases, often leading to misdiagnosis; in this case, it was confused with an internal hernia.
- A 52-year-old male experienced abdominal pain and bloating for six months, and imaging suggested an internal hernia, but surgery revealed EPS with fibrous tissue encasing the bowel.
- EPS symptoms are caused by a thick capsule around the intestines, typically linked to peritoneal dialysis or inflammatory disorders, and treatment varies from managing underlying causes to surgical interventions, which carry risks of recurrence and high mortality.
Complex intestinal fistula treatment and care: A case report and literature review.
Medicine (Baltimore)
November 2024
Department of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, China.
Article Synopsis
- Abdominal cocoon is a rare condition that can lead to serious complications like intestinal rupture and fistulas, as seen in a 51-year-old man who experienced abdominal injuries from a traffic accident.
- The surgery revealed that his small intestine was encased in dense fibrous tissue, leading to complications that required intensive postoperative care, including ventilator support and drainage management.
- Despite the challenges of a delayed intestinal fistula occurring 10 days after surgery, comprehensive nursing strategies and treatments led to the successful healing of the incision, allowing the patient to eventually recover and reverse the stoma after 5 months.
Vaginal Cuff Infection Caused by After Hysterectomy for Uterine Cervical Cancer: A Case Report.
Case Rep Infect Dis
October 2024
Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Article Synopsis
- A case study highlights a rare infection caused by an endemic mycoplasma after a hysterectomy in a 29-year-old woman with cervical cancer, leading to complications like peritonitis and bowel obstruction.
- The patient's symptoms included fever, ascites, and paralytic ileus, but traditional cultures failed to identify the pathogen.
- Polymerase chain reaction (PCR) testing ultimately detected the mycoplasma, allowing for effective treatment with levofloxacin and leading to the resolution of both the infection and bowel obstruction.
A Case Report and Clinical Insights on Encapsulating Peritoneal Sclerosis: A Rare yet Critical Complication of Peritoneal Dialysis.
Cureus
August 2024
Nephrology, Hamad Medical Corporation, Doha, QAT.
Article Synopsis
- * A serious long-term complication of PD is encapsulating peritoneal sclerosis (EPS), which is a rare condition that forms a fibrous cocoon around the bowel and is linked to chronic PD exposure, with risks increasing after five years of treatment.
- * Early diagnosis of EPS can be difficult due to varied symptoms and is often confirmed through CT imaging, while treatment focuses on addressing the causative factors; a case example highlights the importance of prompt evaluation and intervention to improve patient outcomes.
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