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Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon)
BACKGROUND: Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis co...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2006
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421435/ https://www.ncbi.nlm.nih.gov/pubmed/16476161 http://dx.doi.org/10.1186/1471-2482-6-3 |
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author | Serafimidis, Costas Katsarolis, Ioannis Vernadakis, Spyros Rallis, George Giannopoulos, George Legakis, Nikolaos Peros, George |
author_facet | Serafimidis, Costas Katsarolis, Ioannis Vernadakis, Spyros Rallis, George Giannopoulos, George Legakis, Nikolaos Peros, George |
author_sort | Serafimidis, Costas |
collection | PubMed |
description | BACKGROUND: Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. CASE PRESENTATION: A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. CONCLUSION: Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management. |
format | Text |
id | pubmed-1421435 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-14214352006-04-01 Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) Serafimidis, Costas Katsarolis, Ioannis Vernadakis, Spyros Rallis, George Giannopoulos, George Legakis, Nikolaos Peros, George BMC Surg Case Report BACKGROUND: Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. CASE PRESENTATION: A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. CONCLUSION: Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management. BioMed Central 2006-02-13 /pmc/articles/PMC1421435/ /pubmed/16476161 http://dx.doi.org/10.1186/1471-2482-6-3 Text en Copyright © 2006 Serafimidis et al; licensee BioMed Central Ltd. |
spellingShingle | Case Report Serafimidis, Costas Katsarolis, Ioannis Vernadakis, Spyros Rallis, George Giannopoulos, George Legakis, Nikolaos Peros, George Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title_full | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title_fullStr | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title_full_unstemmed | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title_short | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
title_sort | idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421435/ https://www.ncbi.nlm.nih.gov/pubmed/16476161 http://dx.doi.org/10.1186/1471-2482-6-3 |
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