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 

 PDF  Full Text DOI: 10.25107/2474-1647.1169

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

Cite the article

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.