Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation
Abdominal cocoon syndrome is a rare clinical presentation that has been associated with abdominal tuberculosis in rural India. It is also known as sclerosing encapsulating peritonitis, where the small bowel becomes encapsulated by a fibrous membrane due to unclear causes, leading to obstipation. Com...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2024-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19345/69380_CE[Ra1]_F(SS)_QC(AN_RDW_IS)_PF1(RI_OM)_PFA_NC(KM)_PN(KM).pdf |
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| author | Abhilasha Bhargava Chandrashekhar Mahakalkar Shivani Kshirsagar Simran Dhole |
| author_facet | Abhilasha Bhargava Chandrashekhar Mahakalkar Shivani Kshirsagar Simran Dhole |
| author_sort | Abhilasha Bhargava |
| collection | DOAJ |
| description | Abdominal cocoon syndrome is a rare clinical presentation that has been associated with abdominal tuberculosis in rural India. It is also known as sclerosing encapsulating peritonitis, where the small bowel becomes encapsulated by a fibrous membrane due to unclear causes, leading to obstipation. Common symptoms include vomiting, nausea, and constipation. Due to these general clinical symptoms, it can be mistaken for other gastrointestinal disorders, resulting in delayed diagnosis, which may lead to adverse outcomes or even mortality. Surgery is often used to free the entrapped bowel and remove the fibrous tissue, while supportive care and problem management are crucial. The present case involves a 55-year-old male who presented with a distended abdomen and obstipation, leading to intestinal perforation and sclerosing encapsulating peritonitis, which was managed through resection and anastomosis of the small intestine. The patient was followed-up after three months with no new complaints. The present case helps in understanding the sequelae of acute intestinal perforation that can result in abdominal cocoon syndrome. |
| first_indexed | 2024-04-24T07:51:16Z |
| format | Article |
| id | doaj.art-8aa2b441a66e47858724c178eca6ac9c |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-24T07:51:16Z |
| publishDate | 2024-05-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8aa2b441a66e47858724c178eca6ac9c2024-04-18T12:21:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-05-011805010410.7860/JCDR/2024/69380.19345Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal PerforationAbhilasha Bhargava0Chandrashekhar Mahakalkar1Shivani Kshirsagar2Simran Dhole3Junior Resident, Department of General Surgery, Jawaharlal Nehru Medical College and Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.Assistant Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.Junior Resident, Department of General Surgery, Jawaharlal Nehru Medical College and Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.Abdominal cocoon syndrome is a rare clinical presentation that has been associated with abdominal tuberculosis in rural India. It is also known as sclerosing encapsulating peritonitis, where the small bowel becomes encapsulated by a fibrous membrane due to unclear causes, leading to obstipation. Common symptoms include vomiting, nausea, and constipation. Due to these general clinical symptoms, it can be mistaken for other gastrointestinal disorders, resulting in delayed diagnosis, which may lead to adverse outcomes or even mortality. Surgery is often used to free the entrapped bowel and remove the fibrous tissue, while supportive care and problem management are crucial. The present case involves a 55-year-old male who presented with a distended abdomen and obstipation, leading to intestinal perforation and sclerosing encapsulating peritonitis, which was managed through resection and anastomosis of the small intestine. The patient was followed-up after three months with no new complaints. The present case helps in understanding the sequelae of acute intestinal perforation that can result in abdominal cocoon syndrome.https://www.jcdr.net/articles/PDF/19345/69380_CE[Ra1]_F(SS)_QC(AN_RDW_IS)_PF1(RI_OM)_PFA_NC(KM)_PN(KM).pdfacute abdomencase reportconstipationperforation peritonitissclerosing encapsulating peritonitis |
| spellingShingle | Abhilasha Bhargava Chandrashekhar Mahakalkar Shivani Kshirsagar Simran Dhole Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation Journal of Clinical and Diagnostic Research acute abdomen case report constipation perforation peritonitis sclerosing encapsulating peritonitis |
| title | Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation |
| title_full | Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation |
| title_fullStr | Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation |
| title_full_unstemmed | Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation |
| title_short | Abdominal Cocoon Syndrome: A Rare Sequelae of Intestinal Perforation |
| title_sort | abdominal cocoon syndrome a rare sequelae of intestinal perforation |
| topic | acute abdomen case report constipation perforation peritonitis sclerosing encapsulating peritonitis |
| url | https://www.jcdr.net/articles/PDF/19345/69380_CE[Ra1]_F(SS)_QC(AN_RDW_IS)_PF1(RI_OM)_PFA_NC(KM)_PN(KM).pdf |
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