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Abdominal Cocoon Syndrome: A Laparoscopic Approach.
Waqas Aziz1, Yashfeen Malik1, Shahan Haseeb2
1General Surgery, Shifa International Hospital Islamabad, Islamabad, PAK.
Cureus
|September 13, 2021
Summary
Sclerosing encapsulating peritonitis, or abdominal cocoon syndrome (ACS), is a rare condition causing intestinal obstruction. Laparoscopic surgery successfully treated a patient with ACS, highlighting the need for high diagnostic suspicion in recurrent obstruction cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sclerosing encapsulating peritonitis, known as abdominal cocoon syndrome (ACS), is a rare condition characterized by a fibro-collagenous membrane encapsulating the small bowel.
- It presents as a challenging cause of intestinal obstruction.
Observation:
- A case study of a 29-year-old male presenting with acute intestinal obstruction is detailed.
- Initial imaging suggested the presence of abdominal cocoon syndrome.
Findings:
- The patient underwent successful laparoscopic adhesiolysis, releasing the encapsulated small bowel.
- Computed tomography proved to be a valuable imaging tool for diagnosing ACS.
Implications:
- A high index of suspicion is crucial for diagnosing ACS in patients with recurrent small bowel obstruction.
- Surgical intervention, particularly laparoscopic adhesiolysis, remains the primary treatment modality for abdominal cocoon syndrome.
