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Case Report

A Case of Intestinal Obstruction Caused by Abdominal Cocoon in an Adult Male: A Case Report

Saurav Karmakar , Dipanjan Pradhan1 , Saurav Karmakar2 , Abida Sabreen3

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New Indian Journal of Surgery 10(6):p 613-617, November-December 2019. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10619.10

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Dipanjan Pradhan, Saurav Karmakar, Abida Sabreen. A Case of Intestinal Obstruction Caused by Abdominal Cocoon in an Adult Male: A Case Report. New Indian J Surg. 2019;10(5):613-617.

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Abstract

Abdominal cocoon also known as “Encapsulating peritoneal sclerosis” (EPS) is a rare cause of intestinal obstruction presenting as a surgical emergency. It is described as thick, white, fibrous “cocoon-like” membrane, formed by chronic intra-abdominal fibro-inflammatory process that results in formation of fibrous tissue sheets, which formed a “second abdominal cavity” containing variable amounts of bowel segments that cover, fix and ultimately constrict the gut compromising its motility. We present a case of acute intestinal obstruction due to primary idiopathic Sclerosing Encapsulating Peritonitis (SEP). The diagnosis was established and early laparotomy was done with surgical release of the entrapped bowel and complete removal of the fibrotic membrane.

Keywords: Abdominal cocoon; Encapsulating peritoneal sclerosis; Sclerosing encapsulating peritonitis; Intestinal obstruction.

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Dipanjan Pradhan, Saurav Karmakar, Abida Sabreen. A Case of Intestinal Obstruction Caused by Abdominal Cocoon in an Adult Male: A Case Report. New Indian J Surg. 2019;10(5):613-617.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10619.10

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