Related Experiment Video
Updated: Apr 18, 2026
06:45
Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 18, 2010
20.0K
Abdominal cocoon: idiopathic sclerosing encapsulating peritonitis.
Jason H Frost1, Elizabeth E Price2
1Department of General Surgery, Memorial Healthcare System, Pembroke Pines, Florida, USA.
BMJ Case Reports
|January 24, 2015
Summary
Idiopathic sclerosing encapsulating peritonitis, known as abdominal cocoon, is a rare cause of recurrent small bowel obstruction. Surgical excision of the cocoon membrane aims to prevent future obstructions in this challenging condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Idiopathic sclerosing encapsulating peritonitis (abdominal cocoon) is a rare condition.
- It involves a fibrocollagenous membrane encapsulating the small bowel, causing recurrent intestinal obstructions.
Observation:
- A patient presented with their fourth episode of small bowel obstruction.
- Previous laparoscopy showed a plaque-like process encasing the small bowel and liver.
- Adhesiolysis provided only temporary relief, with continued recurrent obstructions.
Findings:
- The patient underwent a further laparotomy for complete excision of the abdominal cocoon membrane.
- This procedure aimed to release encapsulated small bowel loops.
Implications:
- Complete surgical excision may offer a definitive solution for recurrent obstructions caused by abdominal cocoon.
- This case highlights the challenges in managing this rare condition and the potential benefit of radical surgical intervention.
Related Concept Videos
01:19Ascites
2
DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
2
01:19Appendicitis
3
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
3
01:07Intestinal Obstruction II: Pathophysiology
2
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
2
01:22Pericarditis I: Introduction
714
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
714
01:17Chronic Bowel Disorders: Introduction
958
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
958
01:22Appendicitis-I: Introduction
4.1K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.1K