Multiple abdominal cocoons: an unusual presentation of intestinal obstruction and
a diagnostic dilemma
#MMPMID25893128
Sohail MZ
; Hasan S
; Dala-Ali B
; Ali S
; Hashmi MA
Case Rep Surg
2015[]; 2015
(?): 282368
PMID25893128
show ga
Sclerosing encapsulating peritonitis (SEP) or abdominal cocoon is a rare acquired
condition with an unknown aetiology. It is characterized by encapsulation of the
small bowel by a fibrous membrane and can lead to intestinal obstruction. We
present the case of a 42-year-old gentleman with a history of hepatitis C,
tuberculosis, and previous abdominal surgery, who presented with subacute
intestinal obstruction. Surgical exploration of the abdomen revealed that the
entire contents were enclosed into three distinct sacs by a dense fibrous
membrane. Excision of the sacs was performed followed by adhesiolysis. This is
believed to be the first reported case of multiple cocoons within the abdominal
cavity. The case is discussed with reference to the literature.