Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma
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 o...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/282368 |
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| author | Mohammad Zain Sohail Shumaila Hasan Benan Dala-Ali Shahanoor Ali M. A. Hashmi |
| author_facet | Mohammad Zain Sohail Shumaila Hasan Benan Dala-Ali Shahanoor Ali M. A. Hashmi |
| author_sort | Mohammad Zain Sohail |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-69f520f3ff46480fb29d712940ceae46 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-69f520f3ff46480fb29d712940ceae462025-02-03T05:47:48ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/282368282368Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic DilemmaMohammad Zain Sohail0Shumaila Hasan1Benan Dala-Ali2Shahanoor Ali3M. A. Hashmi4Department of Trauma & Orthopaedics, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone, London E11 1NR, UKDepartment of Neurosurgery, The Royal London Hospital, Whitechapel Road, Whitechapel, London E1 1BB, UKDepartment of Trauma & Orthopaedics, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone, London E11 1NR, UKDepartment of General Surgery, Kettering General Hospital, Rothwell Road, Kettering, Northamptonshire NN16 8UZ, UKDepartment of General Surgery, Shifa International Hospitals Ltd., Pitras Bukhari Road, No. H-8/4, Islamabad, PakistanSclerosing 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.http://dx.doi.org/10.1155/2015/282368 |
| spellingShingle | Mohammad Zain Sohail Shumaila Hasan Benan Dala-Ali Shahanoor Ali M. A. Hashmi Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma Case Reports in Surgery |
| title | Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma |
| title_full | Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma |
| title_fullStr | Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma |
| title_full_unstemmed | Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma |
| title_short | Multiple Abdominal Cocoons: An Unusual Presentation of Intestinal Obstruction and a Diagnostic Dilemma |
| title_sort | multiple abdominal cocoons an unusual presentation of intestinal obstruction and a diagnostic dilemma |
| url | http://dx.doi.org/10.1155/2015/282368 |
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