scholarly journals Difficult to Diagnose the Cause of Intestinal Obstruction due to Abdominal Cocoon Syndrome

2021 ◽  
Author(s):  
Cemal Ulusoy ◽  
Andrej Nikolovski ◽  
Nazım Öztürk
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Abdominal Mass ◽  
Clinical Signs ◽  
Rare Condition ◽  
Abdominal Cocoon ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis ◽  
Palpable Abdominal Mass

Abdominal cocoon syndrome (sclerosing encapsulating peritonitis) is a rare condition associated with clinical signs of intestinal dysfunction, episodes of small bowel obstruction and sometimes a palpable abdominal mass. We present the case of a 46-year-old male patient with clinical signs of intestinal obstruction caused by primary sclerosing encapsulating peritonitis.

Abdominal Cocoon: A Potential Pitfall in Patients with Ovarian Carcinoma

2012 ◽  
Vol 98 (6) ◽  
pp. e176-e178 ◽  
Author(s):  
Rut Isacson ◽  
Amiel Segal ◽  
Joseph Alberton ◽  
Constantin Reinus ◽  
Alon Schwarz ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Cancer Patients ◽  
Rare Condition ◽  
Unusual Complication ◽  
Abdominal Cocoon ◽  
Case Presentation ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Background Abdominal cocoon, or sclerosing encapsulating peritonitis, is a rare condition characterized by partial or total encasement of small bowel and mesentery by a thick fibrocollagenous sack that looks like a cocoon. Within the sack, bowel loops are drawn together causing intestinal obstruction. Case presentation We report on a 57-year-old female patient who developed a very unusual complication of ovarian cancer: abdominal cocoon formation. Conclusions This report highlights the need for a timely diagnosis of sclerosing encapsulating peritonitis in cancer patients.

scholarly journals Sclerosing Encapsulating Peritonitis

2014 ◽  
Vol 2 (1) ◽  
pp. 42-43
Author(s):  
Sharmistha Roy ◽  
Tapash Kumar Maitra ◽  
Samiron Kumar Mondal
Keyword(s):  
Small Bowel ◽  
Rare Condition ◽  
Young Girl ◽  
Abdominal Cocoon ◽  
Operative Finding ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing Encapsulating Peritonotis ( SEP) or Abdominal Cocoon is a rare condition characterized by total or partial encasement of the small bowel by a fibrocollagenous cocoon like sac. It was first described and named by Foo et al in 1978. Here we present a case of SEP or cocoon in a young girl with typical radiological and per operative finding. DOI: http://dx.doi.org/10.3329/bccj.v2i1.19969 Bangladesh Crit Care J March 2014; 2 (1): 42-43

scholarly journals Idiopathic Sclerosing Encapsulating Peritonitis: Abdominal Cocoon in a 50 year old male

2019 ◽  
Vol 19 (2) ◽  
pp. 75-79
Author(s):  
SM Quamrul Akther ◽  
Md Mamunur Rahman ◽  
Mozammel Hoque ◽  
Syed Masud Reza ◽  
Sharmin Islam ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Adult Population ◽  
Abdominal Cocoon ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Idiopathic Sclerosing Encapsulating Peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We report one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. Journal of Surgical Sciences (2015) Vol. 19 (2) : 75-79

scholarly journals An intraoperative diagnosis of sclerosing encapsulating peritonitis: a case report

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Jonathan Sivakumar ◽  
Gregor Brown ◽  
Laurence Galea ◽  
Julian Choi
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Case Reports ◽  
Fibrous Tissue ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Intraoperative Diagnosis ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Abstract Primary sclerosing encapsulating peritonitis (SEP) is an idiopathic and rare condition characterized by chronic peritoneal inflammation. We describe the case of an intraoperative diagnosis of SEP, presenting as a mimicker of small bowel obstruction. The patient was a 59-year-old male with suspected small bowel obstruction. On exploratory laparotomy, it was noted that there was thick fibrous tissue involving the visceral and parietal peritoneum enveloping grossly dilated loops of small bowel. This case reports on the histopathological features of peritoneal biopsies as well as radiological findings. There is no consensus regarding the standard management for idiopathic SEP. The present case demonstrates a significant improvement in the patient’s condition with conservative management alone. A critical teaching point is that in the absence of an obvious cause, SEP is a rare but important differential diagnosis for surgeons to consider in the context of recurrent bowel obstruction.

scholarly journals Abdominal cocoon

Pulse ◽  
2014 ◽  
Vol 5 (2) ◽  
pp. 61-64
Author(s):  
SK Basu ◽  
R Hassan ◽  
CA Zaman ◽  
KMS Islam ◽  
JMHQ Alam ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Adult Population ◽  
Rare Condition ◽  
Uneventful Recovery ◽  
Abdominal Cocoon ◽  
Subacute Intestinal Obstruction ◽  
Encapsulating Peritonitis

Background The abdominal cocoon syndrome was first described as a rare condition where part of or the whole small bowel is encased within a fibrous membrane. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. But preoperative diagnosis can be made. Case presentation This report is of a 27-year-old Bangladeshi male who presented with increasing abdominal pain and features of subacute intestinal obstruction. He had a history appendicectomy 2 months back through grid iron incision in a peripheral hospital. Pre-operative work-up did not reveal a sac like structure encasing small intestinal loops. At computed tomography of the abdomen and pelvis, a huge cystic structure was seen encasing loops of small bowel. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of primary abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. No evidence of Kochs noted in the abdomen or on histopathology of tissue sent for examination. Conclusion Abdominal cocoon is a rare cause of small bowel obstruction, but should be suspected especially in cases with attacks of non strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel obstruction. Clinicians must rigorously pursue a preoperative diagnosis. The overall prognosis is satisfactory. DOI: http://dx.doi.org/10.3329/pulse.v5i2.20269 Pulse Vol.5 July 2011 p.61-64

scholarly journals Idiopathic Sclerosing Encapsulating Peritonitis in a Patient with Atypical Symptoms and Imaging Findings

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Joseph Wetherell ◽  
Katherine Woolley ◽  
Rishi Chadha ◽  
Julia Kostka ◽  
Edin Adilovic ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Respiratory Distress ◽  
Clinical Symptoms ◽  
Failure To Thrive ◽  
Rare Condition ◽  
Imaging Findings ◽  
Atypical Symptoms ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis is a rare condition caused by a fibrotic membrane covering the small bowel which may lead to abdominal pain or obstruction. The cause may be primary and idiopathic or secondary to several diseases, treatments, and/or medications. The condition typically presents with bowel obstruction, and only one previous case has described ascites as the presenting sign. Sclerosing encapsulating peritonitis is typically diagnosed intraoperatively. We present a case of a patient who presented with atypical clinical symptoms including respiratory distress, recurrent abdominal ascites, and failure to thrive who was diagnosed nonoperatively.

scholarly journals Abdominal Cocoon or Encapsulating Peritoneal Sclerosis: A Rare Cause of Small Bowel Obstruction

2020 ◽  
Author(s):  
Omar Lasheen ◽  
Mohamed ElKorety
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Abdominal Cocoon ◽  
Accident And Emergency ◽  
History Of ◽  
Uncommon Condition ◽  
Accident And Emergency Department ◽  
Encapsulating Peritonitis ◽  
Contrast Ct

Encapsulating peritoneal sclerosis (EPS), also known as abdominal cocoon syndrome (AC) or sclerosing encapsulating peritonitis (SEP), is an uncommon condition typically presenting with features of bowel obstruction. We present the case of a 41-year-old male patient who presented to the accident and emergency department with a 7-day history of abdominal pain. Contrast CT of the abdomen and pelvis was ordered and was suggestive of small bowel obstruction involving most of the small bowel with no apparent transition point. Laparotomy showed a tough whitish fibrous membrane encasing the entire length of the small bowel. Advances in CT have made diagnosis possible before a decision on surgical intervention is made.

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