Cover Image

Abdominal Cocoon caused by Endometriosis - A rare case report

Premkumar S, Praveen Sundar B

Abstract


Encapsulating peritonitis is an infrequent cause of intestinal obstruction in adult patients. The perito-neal membrane, which involves the mesentery, intestines stomach, liver, gallbladder, spleen, and pelvic organs, was first described and named the abdominal cocoon (AC) by Foo et al in 19781, Small bowel obstruction associated with Ab-dominal cocoons (AC) account for 0.4-4% of all intestinal obstruction encountered in surgical ad-missions2.
We report a young adolescent girl 17 years old, who had intestinal obstruction and minimal haemoserous ascites due to coexistent Abdominal Cocoon and left ovarian endometriosis. Endome-triosis has rarely been associated with Abdominal Cocoon or haemoserous ascites.

The clinical diagnosis of abdominal cocoon re-quires a high index of suspicion because of the nonspecific clinical picture and noncontributory imaging findings. Surgical treatment consisting of peritoneal sac excision and adhesiolysis is gener-ally successful.


Full Text:

PDF

References


Al-Abassi AA, Emad M. Abdominal cocoon. An unusual cause of intestinal obstruction. Saudi Med J ;2004.25(10):1482-1485

Tombak MC, Apaydin FD, Colak T. An Unusu-al cause of intestinal obstruction: Abdominal co-coon. AJR Am J Roentgenol. 2010 Feb; 194(2): W 176-8.

Ahmed MN, Kaur S, Zargar HU. Abdominal cocoon: an unusual intestinal obstruction. J Post-grad Med ;1984.30(1):62-63

Lalloo S, Krishna D, Maharajh J. Case report: abdominal cocoon associated with tuberculous pelvic inflammatory disease. Br J Radi-ol ;2002 .75(890):174-176

Dequanter D, Lefebvre JC, De Pauw L, Nort-ier J, Kinnaert P .Sclerosing peritonitis: report of three cases. ActaChirBelg ;2003 .103(4):408-411

Gurbuz A, Karateke A, Kabaca C, Kir G, Cet-ingoz E. Peritoneal tuberculosis simulating ad-vanced ovarian carcinoma: is clinical impression sufficient to administer neoadjuvant chemothera-py for advanced ovarian cancer? Int J Gynecol Cancer 2006; 16 Suppl 1:307-12.

Chew MH, SophianHadi I, Chan G, Ong HS, Wong WK. A problem encapsulated: the rare per-itoneal encapsulation syndrome. Singapore Med J 2006; 47:808-10.

Serafimidis C, Katsarolis I, Vernadakis S, et al. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon). BMC Surg 2006; 6:3.

Mohd Noor NH, Zaki NM, Kaur G, Naik VR, Zakaria ZA. Abdominal cocoon in association with adenomyosis and leiomyomata of the uterus and endometriotic cyst: unusual presentation. Malays J Med Sci 2004;11:81-5.

Santos V M, Barbosa Junior e r, Lima s H M, portoA et al. Abdominal cocoon associated with endometriosis : Singapore Med J 2007; 48(9) : e242

Kaushik R, Punia RPS, Mohan H, Attri AK. Case report.Tuberculous abdominal cocoon- a report of 6 cases and review of literature. World Journal Emergency Surgery 2006; 1:18


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University