Abdominal cocoon associated with endometriosis
V M Santos1, E R Barbosa, S H M Lima
1Department of Internal Medicine, Catholic University Medical Course, Armed Forces Hospital, Estrada do Contorno do Bosque s/n, Brasilia DF, Brazil. vitorinomodesto@gmail.com
Abstract:
Abdominal cocoon is a rare cause of intestinal obstruction in adults. Diagnosis is usually established at laparotomy in patients with recurrent attacks of non-strangulating small bowel obstruction. A 40-year-old infertile Brazilian woman with intestinal obstruction and massive haemoserous ascites, due to coexistent ovarian endometriosis and abdominal cocoon, is reported. Abdominal pain, nausea, vomiting and a palpable mass, in addition to imaging of small bowel obstruction and thickened peritoneum, raised diagnostic suspicion. Higher awareness allows for early diagnoses and yields better results during management.
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