Clin Surg | Volume 1, Issue 1 | Case Report | Open Access

Unravelling the Cocoon: A Case Report, Review of the Literature, and Journey in Rediscovering Congenital Peritoneal Encapsulation

Sabrina Ngaserin Ng Hui Na, Bettina Lieske and Choon-Seng Chong*

Department of Colorectal Surgery, National University Health System, Singapore

*Correspondance to: Choon-Seng Chong 

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Abstract

Congenital peritoneal encapsulation is an uncommon and poorly understood condition. It usually presents as a diagnostic dilemma with eventual unexpected laparotomy findings and occasional surgical misadventure. We describe a rare case of an elderly gentleman presenting with acute intestinal obstruction, with typical radiographic findings raising pre-operative suspicion of an abdominal cocoon. Surgery was mandatory due to non-resolving mechanical obstruction, and concerns that there may have been segments of bowel in closed loops. Recognition of the condition is critical in directing clinical decision-making and successful application of appropriate surgical techniques, particularly for patients of “idiopathic” or congenital etiology.

Keywords:

Abdominal cocoon; Congenital peritoneal encapsulation; Sclerosing encapsulating peritonitis; Intra peritoneal fibro sclerosis; Peritonitis chronica fibrosa incapsulata

Citation:

Hui Na SNN, Lieske B, Chong C-S. Unravelling the Cocoon: A Case Report, Review of the Literature, and Journey in Rediscovering Congenital Peritoneal Encapsulation. Clin Surg. 2016; 1: 1169.

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