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Sclerosing encapsulating peritonitis after living-donor liver transplantation: A case series, Kyoto experience
Ann Hepatobiliary Pancreat Surg 2018 May;22(2):144-9
Published online May 31, 2018
Copyright © 2018 Ann Hepatobiliary Pancreat Surg.

Vusal Aliyev1, Shintaro Yagi1, Ahmed Hammad1,2, Amr Badawy1,3, Yudai Sasaki1, Yuki Masano1,Gen Yamamoto1, Naoko Kamo1, Kojiro Taura1, Hideaki Okajima1, Toshimi Kaido1, and Shinji Uemoto1

1Division of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Department of General Surgery, Mansoura University, Mansoura, 3Department of Surgery, Alexandria University, Alexandria, Egypt
Received December 5, 2017; Revised January 29, 2018; Accepted January 30, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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. (Ann Hepatobiliary Pancreat Surg 2018;22:144-149)
Keywords : Sclerosing encapsulating peritonitis; Abdominal cocoon; Liver transplantation; Intestinal obstruction


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