Chronic encapsulating peritonitis or cocoon abdomen

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...

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...

Abdominal Cocoon: A Case of Sclerosing Encapsulating Peritonitis

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...

Abdominal Cocoon Syndrome (Idiopathic Sclerosing Encapsulating Peritonitis): How Easy Is Its Diagnosis Preoperatively? A Case Report

The abdominal cocoon syndrome (or idiopathic encapsulating peritonitis) is a rare cause of intestinal obstruction. It has been reported predominantly in adolescent girls living in tropical/subtropical region in which diagnosis is only made at laparotomy in most cases. The cause and pathogenesis of the condition have not been elucidated. Prolonged administration of practalol, meconium peritoniti...