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
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
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
References
1.Tannoury JN, Abboud BN. Idiopathic sclerosing encapsulating peritonitis: abdominal cocoon. World J Gastroenterol. 2012;18(17):1999-2004. doi: 10.3748/wjg.v18.i17.1999.
2.Foo KT, Ng KC, Rauff A, Foong WC, Sinniah R. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg. 1978;65(6):427-30. doi: 10.1002/bjs.1800650617.
3.Lalloo S, Krishna D, Maharajh J. Case report: abdominal cocoon associated with tuberculous pelvic inflammatory disease. Br J Radiol. 2002;75(890):174-6. doi: 10.1259/bjr.75.890.750174.
4.Deeb LS, Mourad FH, El-Zein YR, Uthman SM. Abdominal cocoon in a man: preoperative diagnosis and literature review. J Clin Gastroenterol. 1998;26(2):148-50. doi: 10.1097/00004836-199803000-00013.
5.Honda K, Oda H. Pathology of encapsulating peritoneal sclerosis. Perit Dial Int. 2005;25 Suppl 4:S19-29.
6.Augustine T, Brown PW, Davies SD, Summers AM, Wilkie ME. Encapsulating peritoneal sclerosis: clinical significance and implications. Nephron Clin Pract. 2009;111(2):c149-54; discussion c154. doi: 10.1159/000191214.
7.Kawaguchi Y, Kawanishi H, Mujais S, Topley N, Oreopoulos DG. Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis. Perit Dial Int. 2000;20 Suppl 4:S43-55.
8.Nakamoto H. Encapsulating peritoneal sclerosis--a clinician's approach to diagnosis and medical treatment. Perit Dial Int. 2005;25 Suppl 4:S30-8.
9.Akbulut S. Accurate definition and management of idiopathic sclerosing encapsulating peritonitis. World J Gastroenterol. 2015;21(2):675-87. doi: 10.3748/wjg.v21.i2.675.
10.Eltringham WK, Espiner HJ, Windsor CW, Griffiths DA, Davies JD, Baddeley H, et al. Sclerosing peritonitis due to practolol: a report on 9 cases and their surgical management. Br J Surg. 1977;64(4):229-35. doi: 10.1002/bjs.1800640402.
11.Brown P, Baddeley H, Read AE, Davies JD, McGarry J. Sclerosing peritonitis, an unusual reaction to a beta-adrenergic-blocking drug (practolol). Lancet. 1974;2(7895):1477-81. doi: 10.1016/s0140-6736(74)90218-9.
12.Windsor WO, Durrein F, Dyer NH. Fibrinous peritonitis: a complication of practolol therapy. Br Med J. 1975;2(5962):68. doi: 10.1136/bmj.2.5962.68.
13.Mohamed A, Kuhit M, Emran F, Riaz M. Abdominal Cocoon, a Rare Complication of Continuous Ambulatory Dialysis Catheter. The Internet Journal of Surgery. 2008;21(2).
14.Tombak MC, Apaydin FD, Colak T, Duce MN, Balci Y, Yazici M, et al. An unusual cause of intestinal obstruction: abdominal cocoon. AJR Am J Roentgenol. 2010;194(2):W176-8. doi: 10.2214/AJR.09.3083.
15.Wig JD, Gupta SK. Computed tomography in abdominal cocoon. J Clin Gastroenterol. 1998;27(3):259-60. doi: 10.1097/00004836-199810000-00018.
16.Krestin GP, Kacl G, Hauser M, Keusch G, Burger HR, Hoffmann R. Imaging diagnosis of sclerosing peritonitis and relation of radiologic signs to the extent of the disease. Abdom Imaging. 1995;20(5):414-20. doi: 10.1007/BF01213261.
17.Upponi S, Butler AJ, Watson CJ, Shaw AS. Encapsulating peritoneal sclerosis--correlation of radiological findings at CT with underlying pathogenesis. Clin Radiol. 2014;69(1):103-9. doi: 10.1016/j.crad.2013.09.004.
18.Ti JP, Al-Aradi A, Conlon PJ, Lee MJ, Morrin MM. Imaging features of encapsulating peritoneal sclerosis in continuous ambulatory peritoneal dialysis patients. AJR Am J Roentgenol. 2010;195(1):W50-4. doi: 10.2214/AJR.09.317.
19.Jovani M, Baticci F, Bonifacio C, Omodei PD, Malesci A. Abdominal cocoon or idiopathic encapsulating peritoneal sclerosis: magnetic resonance imaging. Dig Liver Dis. 2014;46(2):192-3. doi: 10.1016/j.dld.2013.08.136.
20.Meshikhes AW, Bojal S. A rare cause of small bowel obstruction: Abdominal cocoon. Int J Surg Case Rep. 2012;3(7):272-4. doi: 10.1016/j.ijscr.2012.03.016.
21.Thakur SK, Agrawal T. The abdominal cocoon. J Indian Med Assoc. 2012;110(3):192.
22.Rajagopal AS, Rajagopal R. Conundrum of the cocoon: report of a case and review of the literature. Dis Colon Rectum. 2003;46(8):1141-3. doi: 10.1007/s10350-004-7295-5.
23.Sirovy M, Odlozilova S, Kotek J, Zajak J, Paral J. Current options for the prevention of postoperative intra-abdominal adhesions, Asian J Surg. 2024;47(1):77-82. doi: 10.1016/j.asjsur.2023.10.001.
24.Habib SM, Betjes MG, Fieren MW, Boeschoten EW, Abrahams AC, Boer WH, et al. Management of encapsulating peritoneal sclerosis: a guideline on optimal and uniform treatment. Neth J Med. 2011;69(11):500-7.
Submitted date:
07/06/2024
Reviewed date:
08/12/2024
Accepted date:
08/22/2024
Publication date:
08/23/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email