Abdominal cocoon (sclerosing encapsulating peritonitis): A rare cause of intestinal obstruction. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2012]

Author(s):

1. Saad Ahmed Malik: Department of Surgery, Combined Military Hospital, Lahore, Pakistan

2. Muhammad Asghar Javed: Department of Surgery, Combined Military Hospital, Lahore, Pakistan

3. Muhammad Amer Mian: Department of Surgery, Combined Military Hospital, Lahore, Pakistan

Abstract:

A 24 years old lady presented with classical history of acute intestinal obstruction. There was a background history of chronic abdomen for 9 years. There was asymmetrical abdominal distension. On laparotomy, the entire small intestine was cocooned and enclosed in a yellowish white thick fibrotic membrane resulting in obstruction of the small intestine. When the membrane was carefully peeled off the small intestine, the underlying small gut was found to be absolutely healthy. The histopathology report was consistent with non-specific dense fibrosis. Based on these findings, a diagnosis of abdominal cocoon or sclerosing encapsulating peritonitis was made which is an extremely rare cause of small bowel obstruction.

Page(s): 171-173

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 22, Issue: 3, Year: 2012

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