A Rare Cause of Intestinal Obstruction in a Male Patient: Abdominal Cocoon, Case Report

Mehmet KUBA, Bahadir O BOZKIRLI, Berkay KÜÇÜK, Mehmet Ali AKKUŞ, Kerim TEMİZ and Hasan YİĞİT

Department of General Surgery, Ankara Training and Research Hospital, Turkey
Department of Radiology, Ankara Training and Research Hospital, Turkey

^*Correspondance to: Bahadir Osman Bozkiri 

 PDF  Full Text DOI: 10.25107/2474-1647.1295

Abstract

Sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction which can be classified into a primary and a secondary form. The recommendation for mild cases is conservative treatment, surgical intervention reserved for the patients with severe symptoms of obstruction. The advised surgical approach is the excision of the membrane and adhesiolysis when there are no contraindications for this procedure. Here we present the case of a 58 year old male patient with SEP who was hospitalized for incomplete intestinal obstruction with a plan of conservative treatment, but had to be operated due to the situation progressing into total obstruction. In the present case, adhesiolysis and the excision of the dense and almost totally calcified fibrous capsule that tightly adhered to the viscera was not possible. Conservative treatment was continued after the operation and the intestinal obstruction resolved spontaneously in the postoperative period. Depending on the presented experience, we suggest aggressive resection and adhesiolysis may be abandoned in the absence of intestinal necrosis or perforation related to SEP, if considered to be too risky and the patient must be given another chance for spontaneous recovery.

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Cite the article

KUBA M, BOZKIRLI BO, Kucuk B, Ali AKKUs M, TEMiZ K, YigiT H. A Rare Cause of Intestinal Obstruction in a Male Patient: Abdominal Cocoon, Case Report. Clin Surg. 2017; 2: 1295.