Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report
Journal of Surgery
Volume 6, Issue 6, December 2018, Pages: 159-161
Received: Oct. 12, 2018; Accepted: Nov. 5, 2018; Published: Dec. 19, 2018
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Balachandran Premkumar, Department of Surgical Gastroenterology and General Surgery, Apollo Speciality Hospital, Chennai, India
Sayed Mohammed Afsal, Department of General and Laparoscopic Surgery, Apollo Speciality Hospital, Chennai, India
Ramamurthee Kannaiyan, Department of General Medicine, Apollo Speciality Hospital, Chennai, India
Senguttuvan Pandian, Department of Radio Diagnosis, Apollo Speciality Hospital, Chennai, India
Ranjini Ramachandran, Department of General Surgery, Apollo Speciality Hospital, Chennai, India
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Abdominal cocoon syndrome is also known as sclerosing encapsulating peritonitis, characterized by small bowel encapsulation by a fibro-collagenous membrane or “cocoon”. It is a rare cause of intestinal obstruction and has been reported predominantly in adolescent girls living in tropical/subtropical region. The cause and pathogenesis of the condition have not been elucidated. Prolonged administration of practalol, meconium peritonitis, and tuberculous infection of the female genital tract have been incriminated as possible causes. Timely and accurate imaging and diagnosis is important to avoid morbidity and mortality. Preoperative diagnosis is difficult. It is usually diagnosed during surgery. Simple excision of the membrane and lysis of the adhesions produces optimal results. Breaking of adhesions needs to be done carefully; to prevent damage to serosal surface and perforation. This case report is of a 38yr old lady who presented with sub-acute intestinal obstruction that was secondary to an abdominal cocoon and was managed by Laparoscopic surgery in our hospital.
Abdomen, Cocoon, Intestinal Obstruction, Sclerosing Encapsulating Peritonitis, Subacute Intestinal Obstruction
To cite this article
Balachandran Premkumar, Sayed Mohammed Afsal, Ramamurthee Kannaiyan, Senguttuvan Pandian, Ranjini Ramachandran, Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report, Journal of Surgery. Vol. 6, No. 6, 2018, pp. 159-161. doi: 10.11648/j.js.20180606.13
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