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Síndrome de Capullo Abdominal Secundario a Adenocarcinoma de Células de Anillo de Sello: Un Desafío Diagnóstico Raro

Umbish Dino¹, Ahamed Lazim Vattoth², Jeremy Smith¹

¹Department of Internal Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

WMJ : official publication of the State Medical Society of Wisconsin

|January 7, 2026

Abstracto

Introduction:

Abdominal cocoon syndrome, or sclerosing encapsulating peritonitis, is a rare condition characterized by the encasement of the small bowel in a dense fibrocollagenous membrane, often mimicking symptoms of bowel obstruction. Secondary ACS associated with malignancy is exceptionally uncommon.

Case Presentation:

A 44-year-old man with a history of ascites presented with intractable nausea, vomiting and severe cachexia. The diagnostic process posed significant challenges, requiring advanced imaging and invasive interventions to uncover the underlying malignancy.

Discussion:

This case highlights the diagnostic challenges of secondary abdominal cocoon syndrome, emphasizing the importance of maintaining high clinical suspicion and utilizing advanced diagnostic tools in complex presentations.

Conclusions:

Early recognition, advanced imaging, and a multidisciplinary approach are critical to optimizing outcomes in rare and challenging conditions.

Palabras clave:

Síndrome de capullo abdominal Adenocarcinoma de células de anillo de sello Peritonitis encapsulante esclerosante Diagnóstico diferencial Malignidad Hallazgos de imagen Enfoque multidisciplinario

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