• Internal medicine · Mar 2024

    Case Reports

    Encapsulating Peritoneal Sclerosis 43 Years after Distal Gastrectomy for Early Gastric Cancer: A Case Report.

    • Wataru Harada, Masataka Banshodani, Fumio Shimamoto, Sadanori Shintaku, Misaki Moriishi, Takao Masaki, and Hideki Kawanishi.
    • Department of Kidney Disease and Blood Purification Therapy, Akane-Foundation, Tsuchiya General Hospital, Japan.
    • Intern. Med. 2024 Mar 1; 63 (5): 659663659-663.

    AbstractWe herein report a case of encapsulating peritoneal sclerosis (EPS) in a patient without chronic kidney disease after gastrectomy. A 69-year-old man underwent distal gastrectomy for early gastric cancer at 25 years old. After 43 years, he developed bowel obstruction and underwent enterolysis of the encapsulated small intestine. A pathological examination of the capsular membranes revealed inflammation, foam, and giant cells that destroyed foreign substances. The patient was discharged 1.5 months later. Foreign body reactions to surgical instruments used in gastrectomy are considered a cause of EPS. EPS due to foreign body reactions to surgical instruments should also be considered in such cases.

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