Author(s): Dr. Jinal M Thakkar, Dr. Jay Pitroda, Dr. Gunvant H Rathod, Dr. Bhavin Kothari and Dr. Devarshi Bhagora

Abstract: Sclerosing encapsulating peritonitis (SEP) is characterized by partial or complete encasement of small intestine by a thick fibrocollagenous membrane. Depending on underlying causes, it is divided into primary and secondary forms. Primary or idiopathic also known as abdominal cocoon syndrome. Herein we presented a case of idiopathic sclerosing encapsulating peritonitis (abdominal cocoon syndrome). A 39-year-old male patient presented to our emergency department with signs and symptoms of subacute intestinal obstruction. Patient’s history, physical examination findings, patient's age and abdominal radiography were consistent with subacute intestinal obstruction. Explorative laparotomy revealed a fibrous capsule encasing intestines as well as dense adhesions between intestinal loops. Adhesiolysis was done. Post-operative patient was discharged without complication. Despite advances in radiological techniques, the exact diagnosis in many cases is still made according to intraoperative findings and histopathological properties of the excised membrane. While some cases of ACS remain asymptomatic for years, most cases are characterized by recurrent bouts of acute, subacute or chronic intestinal obstruction.

DOI: 10.22271/27081494.2024.v6.i2a.108

Pages: 24-27 | Views: 96 | Downloads: 33

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