Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon)
<p>Abstract</p> <p>Background</p> <p>Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2006-02-01
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| Series: | BMC Surgery |
| Online Access: | http://www.biomedcentral.com/1471-2482/6/3 |
| _version_ | 1818963871717654528 |
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| author | Legakis Nikolaos Giannopoulos George Rallis George Vernadakis Spyros Katsarolis Ioannis Serafimidis Costas Peros George |
| author_facet | Legakis Nikolaos Giannopoulos George Rallis George Vernadakis Spyros Katsarolis Ioannis Serafimidis Costas Peros George |
| author_sort | Legakis Nikolaos |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations.</p> <p>Case presentation</p> <p>A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up.</p> <p>Conclusion</p> <p>Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management.</p> |
| first_indexed | 2024-12-20T12:52:06Z |
| format | Article |
| id | doaj.art-21a6494dce3048f3b7c5f1148754ea9b |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-20T12:52:06Z |
| publishDate | 2006-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-21a6494dce3048f3b7c5f1148754ea9b2022-12-21T19:40:08ZengBMCBMC Surgery1471-24822006-02-0161310.1186/1471-2482-6-3Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon)Legakis NikolaosGiannopoulos GeorgeRallis GeorgeVernadakis SpyrosKatsarolis IoannisSerafimidis CostasPeros George<p>Abstract</p> <p>Background</p> <p>Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations.</p> <p>Case presentation</p> <p>A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up.</p> <p>Conclusion</p> <p>Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management.</p>http://www.biomedcentral.com/1471-2482/6/3 |
| spellingShingle | Legakis Nikolaos Giannopoulos George Rallis George Vernadakis Spyros Katsarolis Ioannis Serafimidis Costas Peros George Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) BMC Surgery |
| title | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
| title_full | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
| title_fullStr | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
| title_full_unstemmed | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
| title_short | Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) |
| title_sort | idiopathic sclerosing encapsulating peritonitis or abdominal cocoon |
| url | http://www.biomedcentral.com/1471-2482/6/3 |
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