Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2024.0020
Iberoamerican Journal of Medicine
Case Report

Abdominal Cocoon: a rare case of small bowel obstruction, a case report

Capullo abdominal: un caso raro de obstrucción del intestino delgado, informe de un caso

Abbas AR Mohamed

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Abstract

Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon syndrome (ACS), is an uncommon disorder marked by a thick fibrotic membrane that completely or partially envelops the small bowel. For surgeons, preoperative diagnosis is difficult and challenging. The majority of documented, diagnosis were made during a laparotomy. We present a case of SEP that was diagnosed preoperatively. The patient had a complete small bowel obstruction that necessitated urgent surgery. We review the literature and discuss the causes, clinical manifestation, and management of the condition.

Keywords

Abdominal cocoon; Bowel obstruction; Conservative management; Adhesiolysis

Resumen

La peritonitis esclerosante encapsulante (PES) o síndrome del capullo abdominal (SCA) es un trastorno poco frecuente caracterizado por una membrana fibrótica gruesa que envuelve total o parcialmente el intestino delgado. Para los cirujanos, el diagnóstico preoperatorio es difícil y desafiante. La mayoría de los diagnósticos documentados se realizaron durante una laparotomía. Presentamos un caso de PES que se diagnosticó preoperatoriamente. El paciente tenía una obstrucción completa del intestino delgado que requirió cirugía urgente. Revisamos la literatura y discutimos las causas, la manifestación clínica y el manejo de la afección.

Palabras clave

Capullo abdominal; Obstrucción intestinal; Manejo conservador; Adhesiólisis

References

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Submitted date:
07/06/2024

Reviewed date:
08/12/2024

Accepted date:
08/22/2024

Publication date:
08/23/2024

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