Abdominal Cocoon and Adhesiolysis: A Case Report and a Literature Review

Al-Thani, Hassan; Mabrok, Jamila El; Shaibani, Noof Al; El‐Menyar, Ayman

doi:10.1155/2013/381950

Cited by 10 publications

(15 citation statements)

References 11 publications

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“…Three of these patients were previously published as case reports [6, 7], and they will not be further reported on here. Thus, we have analyzed the remaining seven patients who have not yet been reported.…”

Section: Resultsmentioning

confidence: 99%

“…Patients with mild abdominal pain could be treated conservatively as long as the symptoms regress with nasogastric tube decompression, bowel rest and nutritional support [6]. These patients usually have a malnutrition status that reflects the chronicity of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…This disease was reported for the first time in 1868 by Cleland [6], and it is represented by an accessory peritoneal membrane. More than the result of inflammation should be considered with a duplication of the peritoneum; this is found incidentally in the majority of cases.…”

Section: Introductionmentioning

confidence: 99%

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The enigma of primary and secondary encapsulating peritoneal sclerosis

et al. 2016

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BackgroundEncapsulating Peritoneal Sclerosis (EPS) describes a variety of diseases that are frequently confused with different names and different etiopathogeneses. The aim of this article is to report personal experience of focusing on correct classification and the status of current diagnosis and treatment.MethodsA retrospective analysis was performed. Age, sex, ethnic origin, past medical history, symptoms and their duration, radiological tools and signs, laboratory tests, preoperative diagnosis, surgical approach, intraoperative findings, pathological findings, hospital stay, morbidity and mortality were studied.ResultsA total of seven patients, including six males and one female, aged from 24 to 72 years were observed. Four patients had recurrent abdominal colic pain for 3 months, 1, 2 and 9 years; two patients also reported recurrent attacks but without any specification of the duration. All seven patients presented at the emergency department with abdominal pain that was mainly diffused over the entire abdomen. Six patients were submitted to a CT scan. Only in two patients was the diagnosis of EPS made preoperatively. All seven patients were submitted to open surgery. The hospital stay was between 4 and 60 days. One patient had morbidity, and one patient died of MOF.ConclusionsCurrently, the correct identification of EPS is more easily possible than in the past, but the diagnosis is still a challenge. Surgery must be performed as soon as possible to avoid a poorer quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The enigma of primary and secondary encapsulating peritoneal sclerosis

et al. 2016

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“…Though the pathogenesis of primary peritoneal encapsulation remains poorly understood, it has been suggested that the peritoneal sheath is derived from the yolk sac lining following reduction of the midgut into the coelomic cavity . Secondary causes include retrograde menstruation, ventriculo‐peritoneal shunts, peritoneal dialysis, abdominal tuberculosis, sarcoidosis, cirrhosis and systemic lupus erythematosus . Subclinical peritonitis is thought to be another secondary cause, and is suspected in the case presented above.…”

mentioning

confidence: 94%

“…Patients typically present with features of small bowel obstruction, including abdominal pain, vomiting and abdominal distension . Pain is caused by compression or kinking of the intestine within the sac .…”

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confidence: 99%

Peritoneal encapsulation as a cause for recurrent abdominal pain in a 16‐year‐old male

Stewart

Rampersad

King

2014

ANZ Journal of Surgery

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Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis

Oran

Kudsi

Besleyici

et al. 2015

Annals of Medicine &Amp; Surgery

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IntroductionEncapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction which is characterized by fibrotic encapsulation of the bowel. Although its pathogenesis is still not clear, many etiological factors have been stated.Presentation of caseIn this report, we present a 26-year old woman with peritoneal dialysis related EPS. Because of the unresolving intestinal obstructive symptoms, she underwent surgical intervention in which the thick dense whitish membranous sac was excised from the surrounding intestine along with adhesiolysis. She recovered uneventfully. She is symptom-free on the eight months of follow-up.DiscussionEPS should be born in mind as a complication of the long term peritoneal dialysis in patients with progressive obstructive ileus and recurrent peritonitis. Its treatment either medically or surgically varies depending on the stage of this entity.ConclusionEarly identification of EPS is important in order to achieve better prognosis.

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Abdominal Cocoon and Adhesiolysis: A Case Report and a Literature Review

Cited by 10 publications

References 11 publications

The enigma of primary and secondary encapsulating peritoneal sclerosis

The enigma of primary and secondary encapsulating peritoneal sclerosis

Peritoneal encapsulation as a cause for recurrent abdominal pain in a 16‐year‐old male

Encapsulating peritoneal sclerosis as a late complication of peritoneal dialysis

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