Sclerosing encapsulating peritonitis (SEP) is a rare condition of chronic perivisceritis. Morphological and clinical aspects are characterized by a thick graysh white fibrous membrane that strongly envelops the small intestinal wall, and frequently leads to bowel obstruction and to peritoneal irritation symptoms. Aetiology is unknown and probable causes are infections, irritant agents and allergic reactions. A case of SEP in a young female with ventriculo-peritoneal shunt for hydrocephalus is reported. A similar pathological feature to SEP following chronic peritoneal dialysis or in patients with le Veen drainage for ascitis treatment is emphasized. Therefore a common aetiology is suggested: immune response to silicone, microorganism infection carried by catheter, exagerated reaction to foreign body. In this report the authors suggest that glucidic and proteic liquor composition can evoke an intensive fibrotic reaction and elicit the growth of microorganisms from gastrointestinal or adnexal tract.
|Translated title of the contribution||Sclerosing encapsulating peritonitis in patients with ventriculo-peritoneal drainage for hydrocephalus|
|Number of pages||5|
|Journal||Gazzetta Medica Italiana Archivio per le Scienze Mediche|
|Publication status||Published - Jun 1996|
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