Abdominal cocoon: idiopathic sclerosing encapsulating peritonitis

Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon)

BACKGROUND 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 discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. CASE PRESENTATION A 56 year-old man presen...

Sclerosing Encapsulating Peritonitis (Abdominal Cocoon) after Abdominal Hysterectomy

Sclerosing encapsulating peritonitis (SEP) is a poorly understood and rarely documented cause of small bowel obstruction. Although recurrent peritonitis has been reported as the main contributory factor leading to secondary SEP, the pathogenesis of primary (idiopathic) SEP is still uncertain. A 40-year-old woman with a history of total abdominal hysterectomy due to gestational trophoblastic dis...

Idiopathic Sclerosing Encapsulating Peritonitis: A rare abdomen cocoon presentation

Background: Abdominal cocoon is characterized by small bowel encapsulation and is a rare cause of intestinal obstruction. Case report: We describe a young man who had recurrent subacute intestinal obstruction. On elective exploration of abdomen, the entire small bowel was found to be encapsulated inside a white dense fibrous sac. The peritoneal sac was excised, followed by lysis of the interloo...

Abdominal Cocoon: A Case of Sclerosing Encapsulating Peritonitis

Idiopathic encapsulating sclerosing peritonitis.

Sclerosing encapsulating peritonitis (SEP)/abdominal cocoon syndrome is a rare condition that is generally identified in young females. The exact cause is still unknown. Timely and accurate imaging and diagnosis play a critical role for morbidity and mortality. It is usually diagnosed during surgery. The initial treatment should be conservative, and aggressive surgical approach should be avoide...