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KMID : 1143920180220020144
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Annals of Hepato-Biliary-Pancreatic Surgery
2018 Volume.22 No. 2 p.144 ~ p.149
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Sclerosing encapsulating peritonitis after living-donor liver transplantation: A case series, Kyoto experience
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Aliyev Vusal
Yagi Shintaro
Hammad Ahmed
Badawy Amr
Sasaki Yudai
Masano Yuki
Yamamoto Gen
Kamo Naoko
Taura Kojiro
Okajima Hideaki
Kaido Toshimi
Uemoto Shinji
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Abstract
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Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon is a rare cause of intestinal obstruction, and still etiol-ogy remains unknown. We report a series of 4 patients with abdominal cocoon, and all the 4 patients had previously undergone living-donor liver transplantation (LDLT). There was no evidence of SEP before and during LDLT. At the time of diagnosis of SEP, 3 out of 4 patients had ascites. First and fourth patients had multiple episodes or attacks of cholangitis, which were managed by percutaneous transhepatic biliary drainage and hepaticojejunostomy, respectively. All 4 patients presented with intestinal obstruction and 3 of them underwent a successful operation. The fourth patient died due to liver failure and complications of the SEP. The first 3 patients are doing well without SEP recurrence. Our experience suggest that the prognosis of SEP is poor in patients with poor graft liver functions after LDLT.
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KEYWORD
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Sclerosing encapsulating peritonitis, Abdominal cocoon, Liver transplantation, Intestinal obstruction
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