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Cocoon Peritonitis Secondary to Perforated Appendicitis
Pezhman Alavinejad1, Elena Lak2, Masoumeh Khedri2
1Gastroenterologist, Research Center for Infectious Diseases of Digestive System, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Middle East Journal of Digestive Diseases
|September 13, 2017
Summary
Cocoon peritonitis from perforated appendicitis caused partial small intestine obstruction. Single balloon enteroscopy successfully resolved the obstruction, suggesting it as a viable therapeutic option for similar cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Cocoon peritonitis is a rare complication of perforated appendicitis.
- Adhesions resulting from peritonitis can lead to small intestine obstruction.
Observation:
- A young male patient presented with symptoms of gastrointestinal obstruction.
- Diagnosis revealed cocoon peritonitis secondary to perforated appendicitis.
- The patient developed partial small intestine obstruction due to multiple adhesion bands.
Findings:
- Single balloon enteroscopy was performed to address the obstruction.
- The enteroscopy procedure completely resolved the obstructive symptoms.
- No complications were reported post-procedure.
Implications:
- Single balloon enteroscopy is a potential therapeutic modality for partial small intestine obstruction caused by adhesions.
- This minimally invasive approach may offer an alternative to surgical intervention in select cases.
- Further research is warranted to establish the role of balloon enteroscopy in managing adhesive small bowel obstruction.
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