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. 2008 Jul;14(3):139-41.
doi: 10.4103/1319-3767.41733.

Abdominal cocoon secondary to tuberculosis

Rajul Rastogi  1
Affiliations

Abdominal cocoon secondary to tuberculosis

Rajul Rastogi. Saudi J Gastroenterol. 2008 Jul.

Abstract

Abdominal cocoon or sclerosing encapsulating peritonitis is a rare cause of intestinal obstruction that has been described mostly in young adolescent girls. Thick fibrotic peritoneum encasing the small bowel in a small volume is a pathognomonic feature. This condition presents many difficulties in preoperative diagnosis. Early diagnosis can result in proper management, and may prevent the need for bowel resection. The author reports a case of a male patient with intermittent subacute intestinal obstruction and an abdominal cocoon encasing the small bowel secondary to abdominal tuberculosis, which was suspected preoperatively by radiology. To the best of our knowledge, this case represents one of the very few male patients with this disease entity reported in medical literature.

Keywords: Cocoon; intestinal obstruction; peritoneum; tuberculosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Contrast-enhanced axial CT image of the abdomen shows abdominal cocoon in the mid-abdomen with a membranous covering especially posteriorly and on the left side
Figure 2
Figure 2
Sagittal MPR contrast-enhanced CT image shows abdominal cocoon in the anterior part of abdomen adherent to the anterior abdominal wall
See this image and copyright information in PMC

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