{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:28:20Z","timestamp":1787776100472,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>Sclerosing encapsulating peritonitis (SEP) is characterized by the partial or complete enclosing of the small intestines by a thick fibro-collagenous membrane, which can cause recurrent intestinal obstruction. SEP is a clinically rare disease, and the major risk factor is peritoneal dialysis (PD). Early diagnosis of SEP is an important factor in the patient\u2019s prognosis, but it is clinically difficult. A 52-year-old woman visited the emergency department (ED) with a 2-day history of abdominal pain and vomiting. She had a history of liver cirrhosis with chronic hepatitis B, but no history of PD, and she underwent a biopsy of the peritoneum by laparoscopy a month ago. On physical examination, there were peritoneal irritation signs on the right lower quadrant (RLQ). Abdominal computed tomography (CT) showed dilated small intestinal loops clustered in the RLQ, which were surrounded by a sac-like, thick fibrous membrane. Based on CT findings, small intestinal obstruction due to SEP was early diagnosed in the ED. Emergency physicians should include SEP in the differential diagnosis of the cause of intestinal obstruction. Abdominal CT is a useful modality for the early diagnosis of SEP in the ED.<\/jats:p>","DOI":"10.4103\/2452-2473.290068","type":"journal-article","created":{"date-parts":[[2020,7,19]],"date-time":"2020-07-19T06:37:30Z","timestamp":1595140650000},"page":"152-155","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of intestinal obstruction: Sclerosing encapsulating peritonitis of unknown cause"],"prefix":"10.4103","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0108-0247","authenticated-orcid":false,"given":"Jeong Ho","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Jeju National University School of Medicine, Jeju-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,7,18]]},"reference":[{"key":"R1-20250519","first-page":"11","article-title":"Encapsulating peritoneal sclerosis \u2013 A 5 year experience","volume":"82","author":"Spence","year":"2013","journal-title":"Ulster Med J"},{"key":"R2-20250519","doi-asserted-by":"crossref","first-page":"3101","DOI":"10.3748\/wjg.v24.i28.3101","article-title":"Encapsulating peritoneal sclerosis","volume":"24","author":"Danford","year":"2018","journal-title":"World J Gastroenterol"},{"key":"R3-20250519","doi-asserted-by":"crossref","first-page":"e142","DOI":"10.18295\/squmj.2016.16.02.003","article-title":"Sclerosing encapsulating peritonitis: Review","volume":"16","author":"Machado","year":"2016","journal-title":"Sultan Qaboos Univ Med J"},{"key":"R4-20250519","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s00535-003-1269-6","article-title":"Sclerosing encapsulating peritonitis in two patients with liver cirrhosis","volume":"39","author":"Yamamoto","year":"2004","journal-title":"J Gastroenterol"},{"key":"R5-20250519","first-page":"17","article-title":"Sclerosing encapsulating peritonitis (cocoon bowel) presenting after laparotomy for splenic abscess","volume":"7","author":"Caldwell","year":"2013","journal-title":"J Radiol Case Rep"},{"key":"R6-20250519","doi-asserted-by":"crossref","first-page":"675","DOI":"10.3748\/wjg.v21.i2.675","article-title":"Accurate definition and management of idiopathic sclerosing encapsulating peritonitis","volume":"21","author":"Akbulut","year":"2015","journal-title":"World J Gastroenterol"},{"key":"R7-20250519","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.amjsurg.2008.07.054","article-title":"Diagnosis and treatment of abdominal cocoon: A report of 24 cases","volume":"198","author":"Wei","year":"2009","journal-title":"Am J Surg"},{"key":"R8-20250519","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.crad.2007.01.022","article-title":"Computed tomography appearances of sclerosing encapsulating peritonitis","volume":"62","author":"George","year":"2007","journal-title":"Clin Radiol"},{"key":"R9-20250519","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/nep.12718","article-title":"Can radiological assessment of abdominal computerized scans diagnose encapsulating peritoneal sclerosis in long-term peritoneal dialysis patients?","volume":"22","author":"Stuart","year":"2017","journal-title":"Nephrol"},{"key":"R10-20250519","first-page":"53","article-title":"Seventeen years' experience of surgical options for encapsulating peritoneal sclerosis","volume":"27","author":"Kawanishi","year":"2011","journal-title":"Adv Perit Dial"},{"key":"R11-20250519","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.surg.2012.07.033","article-title":"Efficacy and morbidity of surgical therapy in late-stage encapsulating peritoneal sclerosis","volume":"153","author":"Ulmer","year":"2013","journal-title":"Surgery"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.290068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:51:00Z","timestamp":1787773860000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.290068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/2452-2473.290068","relation":{},"ISSN":["2452-2473","2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"},{"value":"2452-2473","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]},"assertion":[{"value":"2020-03-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}