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Case Reports
. 2014 Feb;8(2):173-4.
doi: 10.7860/JCDR/2014/6514.4049. Epub 2014 Feb 3.

Abdominal cocoon: an unusual presentation of small bowel obstruction

R G Naniwadekar  1 , S R Kulkarni  1 , P Bane  2 , S Agrarwal  2 , A Garje  2
Affiliations
Case Reports

Abdominal cocoon: an unusual presentation of small bowel obstruction

R G Naniwadekar et al. J Clin Diagn Res. 2014 Feb.

Abstract

Abdominal cocoon is a rare condition. It presents as a thick whitish membrane which covers bowel loops. Because of this presentation, it is also called as sclerosing encapsulating peritonitis. It is usually diagnosed intra operatively. Treatment of this condition involves resection of the membrane and release of adhesions. Pre-operatively, patient is investigated for recurrent episodes of small bowel obstructions. However, preoperative diagnosis does not change the treatment and management. Investigations done preoperatively help in expediting the treatment with planned laparotomy.

Keywords: Bowel obstruction; Exploratory laparotomy; Sclerosing encapsulating peritonitis.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Pre-operative radiograph
[Table/Fig-2]:
[Table/Fig-2]:
Intra operative finding of abdominal cocoon
See this image and copyright information in PMC

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