Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Abdominal cocoon: Intestinal obstruction, perforation and ischemia
Bassem Mahmoud Abou Hussein1, Ali Mohammad Al-Ani2, Filza Khalid Khalid3, Yousif Hussein El Tayyeb4, Alya Saif Al-Mazrouei4, Faisal Mohammad Badri4
1MD, Specialist, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates.
2MD, Senior Specialist, General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai United Arab Emirates.
3MD, Resident, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates.
4MD, Consultant, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates.

Article ID: 100021Z12BH2016
doi:10.5348/Z12-2016-21-CR-13

Address correspondence to:
Bassem Mahmoud Abou Hussein
United Arab Emirates
Dubai
Oud Meitha Street, Rashid Hospital, General Surgery Department, PO Box: 4545

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How to cite this article:
Abou Hussein BM, Al-Ani A M, Khalid F, El Tayyeb YH, Al-Mazrouei AS, Badri FM. Abdominal cocoon: Intestinal obstruction, perforation and ischemia. J Case Rep Images Surg 2016;2:46–49.


Abstract
Introduction: Abdominal cocoon, also known as sclerosing encapsulating peritonitis, is a rare condition that indicates total or partial encapsulation of the small bowel by a fibrocollagenous membrane or cocoon leading to bowel obstruction. Approximately 50 cases have been reported in literature. Patients usually present with a picture of bowel obstruction and most cases are diagnosed during laparotomy.
Case Report: We report a case of a 31-year-old male who presented with picture of bowel obstruction and a palpable para-umbilical abdominal swelling. Laboratory and radiologic investigations were not conclusive. Exploratory laparotomy showed that the patient has abdominal cocoon with bowel obstruction, perforation and ischemia. The capsule was removed and the involved bowel segment was resected.
Conclusion: Abdominal cocoon syndrome should be suspected in patients with bowel obstruction with no clear cause. Early diagnosis and treatment avoids bowel ischemia or further complications.

Keywords: Abdominal cocoon, Intestine, Ischemia, Obstruction, Perforation


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Author Contributions
Bassem Mahmoud Abou Hussein – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ali Mohammad Al-Ani – Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Filza Khalid Khalid – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article
Yousif Hussein El Tayyeb – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published
Alya Saif Al-Mazrouei – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published
Faisal Mohammad Al-Badri – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Bassem Mahmoud Abou Hussein et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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