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

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...

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Autores principales: Karona, Paraskevi, Blevrakis, Evangelos, Kastanaki, Pagona, Tzouganakis, Aggelos, Kastanakis, Miltiades
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105234/
https://www.ncbi.nlm.nih.gov/pubmed/33972908
http://dx.doi.org/10.7759/cureus.14351
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author Karona, Paraskevi
Blevrakis, Evangelos
Kastanaki, Pagona
Tzouganakis, Aggelos
Kastanakis, Miltiades
author_facet Karona, Paraskevi
Blevrakis, Evangelos
Kastanaki, Pagona
Tzouganakis, Aggelos
Kastanakis, Miltiades
author_sort Karona, Paraskevi
collection PubMed
description 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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spelling pubmed-81052342021-05-09 Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction Karona, Paraskevi Blevrakis, Evangelos Kastanaki, Pagona Tzouganakis, Aggelos Kastanakis, Miltiades Cureus Gastroenterology 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. Cureus 2021-04-07 /pmc/articles/PMC8105234/ /pubmed/33972908 http://dx.doi.org/10.7759/cureus.14351 Text en Copyright © 2021, Karona et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Karona, Paraskevi
Blevrakis, Evangelos
Kastanaki, Pagona
Tzouganakis, Aggelos
Kastanakis, Miltiades
Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title_full Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title_fullStr Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title_full_unstemmed Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title_short Abdominal Cocoon Syndrome: An Extremely Rare Cause of Small Bowel Obstruction
title_sort abdominal cocoon syndrome: an extremely rare cause of small bowel obstruction
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105234/
https://www.ncbi.nlm.nih.gov/pubmed/33972908
http://dx.doi.org/10.7759/cureus.14351
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