naa a22 4500 510813992 CHVBK 20180411083456.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12328-013-0395-9 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0395-9 A case of idiopathic encapsulating peritoneal sclerosis with intractable ileus successfully treated by surgery and steroid therapy [Elektronische Daten] [Yuuki Ikeda, Yasushi Sato, Yuusuke Kamihara, Masahiro Hirakawa, Hiroyuki Onuma, Kohichi Takada, Tsuyoshi Hayashi, Tsutomu Sato, Koji Miyanishi, Rishu Takimoto, Masayoshi Kohune, Takayuki Nobuoka, Hiroko Noguchi, Motoo Oi, Hisato Honma, Kohichi Hirata, Tadashi Hasegawa, Junji Kato] Encapsulating peritoneal sclerosis (EPS) occurring without a history of peritoneal dialysis is rare. We report on a patient with idiopathic EPS following intractable ileus who was successfully treated by surgery and postoperative steroid therapy without any sign of recurrence. A 67-year-old woman was referred to our department for further treatment of intractable ileus. Abdominal CT scanning revealed wall thickening of the proximal jejunum. Double-balloon enteroscopy disclosed stenosis of the jejunum at 20cm anally from the Treitz ligament, although the intestinal mucosa appeared normal without specific biopsy findings. In addition, FDG-PET showed no abnormal accumulation, thus discounting a malignant lesion. Since conservative therapy failed to improve the ileus, we performed an operation on her in order to release the ileus and make a histological diagnosis. Surgical findings included a whitish thickening of the serosa extending to the intestine and the whole mesentery. Accordingly, we made a diagnosis of idiopathic encapsulating peritoneal sclerosis because of her negative history of peritoneal dialysis, laparotomy or peritonitis, in addition to the above-noted findings. Postoperative oral administration of steroid has suppressed EPS recurrence. In patients with intractable ileus, EPS should be added to the list of differential diagnoses, even if they have not undergone peritoneal dialysis. Springer Japan, 2013 Idiopathic encapsulating peritoneal sclerosis nationallicence Ileus nationallicence Surgery nationallicence Steroid therapy nationallicence Ikeda Yuuki Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Sato Yasushi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Kamihara Yuusuke Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Hirakawa Masahiro Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Onuma Hiroyuki Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Takada Kohichi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Hayashi Tsuyoshi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Sato Tsutomu Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Miyanishi Koji Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Takimoto Rishu Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Kohune Masayoshi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Nobuoka Takayuki First Department of Surgery, Sapporo Medical University, Sapporo, Japan aut Noguchi Hiroko Department of Surgical Pathology, Sapporo Medical University, Sapporo, Japan aut Oi Motoo Department of Gastroenterology, Kyoritsu Gorinbashi Hospital, Sapporo, Japan aut Honma Hisato Department of Gastroenterology, Kyoritsu Gorinbashi Hospital, Sapporo, Japan aut Hirata Kohichi First Department of Surgery, Sapporo Medical University, Sapporo, Japan aut Hasegawa Tadashi Department of Surgical Pathology, Sapporo Medical University, Sapporo, Japan aut Kato Junji Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/4(2013-08-01), 295-298 1865-7257 6:4<295 2013 6 12328 https://doi.org/10.1007/s12328-013-0395-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0395-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ikeda Yuuki Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Sato Yasushi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Kamihara Yuusuke Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Hirakawa Masahiro Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Onuma Hiroyuki Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Takada Kohichi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Hayashi Tsuyoshi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Sato Tsutomu Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Miyanishi Koji Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Takimoto Rishu Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Kohune Masayoshi Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 700 1- Nobuoka Takayuki First Department of Surgery, Sapporo Medical University, Sapporo, Japan aut NATIONALLICENCE 700 1- Noguchi Hiroko Department of Surgical Pathology, Sapporo Medical University, Sapporo, Japan aut NATIONALLICENCE 700 1- Oi Motoo Department of Gastroenterology, Kyoritsu Gorinbashi Hospital, Sapporo, Japan aut NATIONALLICENCE 700 1- Honma Hisato Department of Gastroenterology, Kyoritsu Gorinbashi Hospital, Sapporo, Japan aut NATIONALLICENCE 700 1- Hirata Kohichi First Department of Surgery, Sapporo Medical University, Sapporo, Japan aut NATIONALLICENCE 700 1- Hasegawa Tadashi Department of Surgical Pathology, Sapporo Medical University, Sapporo, Japan aut NATIONALLICENCE 700 1- Kato Junji Fourth Department of Internal Medicine, Sapporo Medical University, South 1 West 16, Chuo-ku, 060-8543, Sapporo, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/4(2013-08-01), 295-298 1865-7257 6:4<295 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer