Abdominal cocoon: idiopathic sclerosing encapsulating peritonitis

Frost, Jason H; Price, Elizabeth E.

doi:10.1136/bcr-2014-207524

Cited by 17 publications

(19 citation statements)

References 10 publications

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“…Abdominal cocoon syndrome also known as primary sclerosing encapsulating peritonitis is a rare cause of small bowel obstruction [ 2 ]. The exact pathophysiology of the disease remains unknown, although many hypotheses have been made [ 2 , 3 ]. Computed tomography with intravenous contrast is considered the most useful radiological examination for the diagnosis of this abnormality as far as for the decision-making [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction

Karona

Blevrakis

Kastanaki

et al. 2021

Cureus

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Abdominal cocoon syndrome or encapsulating peritoneal sclerosis is a rare condition causing small bowel obstruction. It is called cocoon syndrome because of the existence of an abnormal membrane that contains part or the entire small intestine. We present a case of a 49-year-old male, presenting to our department with recurrent episodes of obstructive ileus that did not respond to conservative treatment. He underwent exploratory laparotomy and a thick membrane covering the small bowel loops was found. The membrane was excised and sent for pathological examination. Abdominal cocoon syndrome is an acquired condition caused by an inflammatory process that is not yet completely understood. There are many theories for the pathophysiology of the disease. In most cases, the diagnosis is established during surgery. Complete removal of the membrane is the indicated surgical treatment. In mild cases, when the diagnosis is made preoperatively, conservative treatment should be the first choice.

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Section: Introductionmentioning

confidence: 99%

“…Computed tomography with intravenous contrast is considered the most useful radiological examination for the diagnosis of this abnormality as far as for the decision-making [ 4 ]. In most cases, the definitive diagnosis is made during surgery [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction

Karona

Blevrakis

Kastanaki

et al. 2021

Cureus

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“…Loss of appetite, malnutrition, and weight loss are common presenting symptoms [ 16 ]. Nausea, vomiting, episodes of small bowel obstruction, abdominal pain, and distension are other frequent features at presentation [ 17 ]. Imaging studies are now crucial for the diagnosis of SEP.…”

Section: Discussionmentioning

confidence: 99%

Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma

Sohail

Hasan

Dala-Ali

et al. 2015

Case Reports in Surgery

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Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare acquired condition with an unknown aetiology. It is characterized by encapsulation of the small bowel by a fibrous membrane and can lead to intestinal obstruction. We present the case of a 42-year-old gentleman with a history of hepatitis C, tuberculosis, and previous abdominal surgery, who presented with subacute intestinal obstruction. Surgical exploration of the abdomen revealed that the entire contents were enclosed into three distinct sacs by a dense fibrous membrane. Excision of the sacs was performed followed by adhesiolysis. This is believed to be the first reported case of multiple cocoons within the abdominal cavity. The case is discussed with reference to the literature.

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“…Symptomatic patients with complete small bowel obstruction will require surgical treatment. Excision of the thick fibrous membrane sac with adhesiolysis to release the intestine without intestinal resection is the treatment of choice with good long‐term outcome 4. An alternative treatment with steroids, tamoxifen, colchicine, azathioprine and mycophenolate mofetil has also been described 4…”

Section: Figurementioning

confidence: 99%

“…Excision of the thick fibrous membrane sac with adhesiolysis to release the intestine without intestinal resection is the treatment of choice with good long-term outcome. 2,4 An alternative treatment with steroids, tamoxifen, colchicine, azathioprine and mycophenolate mofetil has also been described. 4 The patient has signed a consent to publication form and that the signed form is held by the treating institution.…”

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confidence: 99%