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.
| Published in | Journal of Surgery (Volume 6, Issue 6) |
| DOI | 10.11648/j.js.20180606.13 |
| Page(s) | 159-161 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Abdomen, Cocoon, Intestinal Obstruction, Sclerosing Encapsulating Peritonitis, Subacute Intestinal Obstruction
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APA Style
Balachandran Premkumar, Sayed Mohammed Afsal, Ramamurthee Kannaiyan, Senguttuvan Pandian, Ranjini Ramachandran. (2018). Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report. Journal of Surgery, 6(6), 159-161. https://doi.org/10.11648/j.js.20180606.13
ACS Style
Balachandran Premkumar; Sayed Mohammed Afsal; Ramamurthee Kannaiyan; Senguttuvan Pandian; Ranjini Ramachandran. Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report. J. Surg. 2018, 6(6), 159-161. doi: 10.11648/j.js.20180606.13
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Download@article{10.11648/j.js.20180606.13,
author = {Balachandran Premkumar and Sayed Mohammed Afsal and Ramamurthee Kannaiyan and Senguttuvan Pandian and Ranjini Ramachandran},
title = {Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report},
journal = {Journal of Surgery},
volume = {6},
number = {6},
pages = {159-161},
doi = {10.11648/j.js.20180606.13},
url = {https://doi.org/10.11648/j.js.20180606.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180606.13},
abstract = {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.},
year = {2018}
}
TY - JOUR T1 - Abdominal Cocoon Syndrome as a cause of Intestinal Obstruction: A Case Report AU - Balachandran Premkumar AU - Sayed Mohammed Afsal AU - Ramamurthee Kannaiyan AU - Senguttuvan Pandian AU - Ranjini Ramachandran Y1 - 2018/12/19 PY - 2018 N1 - https://doi.org/10.11648/j.js.20180606.13 DO - 10.11648/j.js.20180606.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 159 EP - 161 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20180606.13 AB - 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. VL - 6 IS - 6 ER -
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