Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation
Correspondence Address :
Dr. Abhilasha Bhargava,
Junior Resident, Department of General Surgery, Jawaharlal Nehru Medical College and Datta Meghe Institute of Higher Education and Research, Sawangi
(Meghe), Wardha-442001, Maharashtra, India.
E-mail: abhilasha0318@gmail.com
Abdominal cocoon syndrome is a rare clinical presentation that has been associated with abdominal tuberculosis in rural India. It is also known as sclerosing encapsulating peritonitis, where the small bowel becomes encapsulated by a fibrous membrane due to unclear causes, leading to obstipation. Common symptoms include vomiting, nausea, and constipation. Due to these general clinical symptoms, it can be mistaken for other gastrointestinal disorders, resulting in delayed diagnosis, which may lead to adverse outcomes or even mortality. Surgery is often used to free the entrapped bowel and remove the fibrous tissue, while supportive care and problem management are crucial. The present case involves a 55-year-old male who presented with a distended abdomen and obstipation, leading to intestinal perforation and sclerosing encapsulating peritonitis, which was managed through resection and anastomosis of the small intestine. The patient was followed-up after three months with no new complaints. The present case helps in understanding the sequelae of acute intestinal perforation that can result in abdominal cocoon syndrome.
Acute abdomen, Case report, Constipation, Perforation peritonitis, Sclerosing encapsulating peritonitis
DOI: 10.7860/JCDR/2024/69380.19345
Date of Submission: Jan 01, 2024
Date of Peer Review: Jan 31, 2024
Date of Acceptance: Mar 18, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? No
• For any images presented appropriate consent has been obtained from the subjects. Yes
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• Plagiarism X-checker: Jan 02, 2024
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• iThenticate Software: Mar 15, 2024 (6%)
ETYMOLOGY: Author
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