Abdominal Cocoon: a rare case of small bowel obstruction, a case report

Abstract

Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon syndrome (ACS), is an uncommon disorder marked by a thick fibrotic membrane that completely or partially envelops the small bowel. For surgeons, preoperative diagnosis is difficult and challenging. The majority of documented, diagnosis were made during a laparotomy. We present a case of SEP that was diagnosed preoperatively. The patient had a complete small bowel obstruction that necessitated urgent surgery. We review the literature and discuss the causes, clinical manifestation, and management of the condition.

Keywords

• abdominal cocoon
• bowel obstruction
• conservative management
• adhesiolysis