A rare case of Acute Abdomen� Abdominal Cocoon

Dr. Sunita; Dr. Prof. Upendra Nath

Volume : V, Issue : XI, November - 2015

A rare case of Acute Abdomen� Abdominal Cocoon

Dr. Sunita, Dr. Prof. Upendra Nath

Abstract :

Abdominal cocoon, the idiopathic form of sclerosing encapsulating peritonitis, is a rare condition of unknown etiology that results in an intestinal obstruction. In it a part or whole of small bowel is encapsulated within a dense fious memane. We report a 30 years old male patient who presented to our emergency department with abdominal pain and palpable lump on abdominal examination. The early clinical features are nonspecific, are often not recognized and it is difficult to make a definite pre–operative diagnosis. At surgery the entire small bowel was found to be encased within a dense fious sac and the diagnosis of abdominal cocoon was made. Careful dissection and excision of the thick sac with the release of the small intestine was done. Outcome was satisfactory