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Journal of Case Reports
Abdominal Cocoon: Unusual Cause of Intestinal Obstruction

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Irpatgire Ravindra, Warad BS
Department of General Surgery, MIMSR Medical College Latur, Maharashtra, India.
Corresponding Author:
Dr. Irpatgire Ravindra
Email: rirpatgire@rediffmail.com
Received: 11-JAN-2016 Accepted: 18-MAR-2016 Published Online: 10-MAY-2016
DOI: http://dx.doi.org/10.17659/01.2016.0049
Abstract
Abdominal cocoon syndrome (ACS) also known as sclerosing encapsulating peritonitis (SEP) is a rare condition that is generally identified in young females in tropical countries. The exact etiology is still unknown. Timely and accurate imaging and diagnosis is important to avoid morbidity and mortality. Preoperative diagnosis is difficult. It is usually diagnosed during surgery. Simple excision of the membrane and lysis of the adhesions produces optimal results. Breaking of adhesions needs to be done carefully; to prevent damage to serosal surface and perforation. Herein, we report the case of recurrent intestinal obstruction in a young female patient that was secondary to an abdominal cocoon and was managed surgically successfully in our hospital. 
Keywords : Abdomen, Humans, Intestinal Obstruction, Peritonitis, Tissue Adhesions.
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