Two Different Clinical Approaches with Mortality Assessment of Four Cases: Complete and Incomplete Type of Abdominal Cocoon Syndrome

Akbaş, Ahmet; Hacım, Nadir Adnan; Dagmura, Hasan; Meriç, Serhat; Altınel, Yüksel; Solmaz, Ali

doi:10.1155/2020/4631710

Cited by 7 publications

(9 citation statements)

References 14 publications

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“…Plethora of possible causes leading to idiopathic SEP has been mentioned, such as retrograde menstruation, retrograde peritonitis, omentum hypoplasia, and mesenteric vessel defect. [ 36 , 41 ] The overall incidence and prevalence of SEP are unknown due to its rarity and variability of etiologies according to Danford et al [ 1 ] Idiopathic SEP is less prevalent than secondary SE. [ 23 ] A local or systemic cause initiates the inflammatory process in the peritoneum in secondary SEP. [ 44 ] The inflammation of peritoneum is provoked by many factors including peritoneal dialysis (PD), which is the most common cause, b-blockers, sarcoidosis, tuberculosis, ovarian tecomas, organ transplantation, and cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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Background: Abdominal cocoon or sclerosing encapsulating peritonitis is an uncommon condition in which the small bowel is completely or partially encased by a thick fibrotic membrane. Our study presents a case of sclerosing encapsulating peritonitis and conducts a literature review.Methods: A bibliographic research was conducted. Our research comprised 97 articles. Gender, age, symptoms, diagnostic procedures, and treatment were all included in the database of patient characteristics.Case presentation: A 51-year-old man complaining of a 2-day history of minor diffuse abdominal pain, loss of appetite, and constipation was presented in emergency department. Physical examination was indicative of intestinal obstruction. Laboratory tests were normal. Diffuse intraperitoneal fluid and dilated small intestinal loops were discovered on computed tomography (CT). An exploratory laparotomy was recommended, in which the sac membrane was removed and adhesiolysis was performed. He was discharged on the tenth postoperative day.Results: There were 240 cases of abdominal cocoon syndrome in total. In terms of gender, 151 of 240 (62.9%) were male and 89 of 240 (37%) were female. Ages between 20 and 40 are most affected. Symptoms include abdominal pain and obstruction signs. For the diagnosis of abdominal cocoon syndrome, CT may be the gold standard imaging method. The surgical operation was the treatment of choice in the vast majority of cases (96.7%). Only 69 of 239 patients (28.9%) were detected prior to surgery, and CT was applied in these cases. Conclusion:Abdominal cocoon is a rare condition marked by recurrent episodes of intestinal obstruction. Surgical therapy is the most effective treatment option.

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Section: Discussionmentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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“…In type 1 SEP, a small section of the small bowel is surrounded by a fibrous capsule; in type 2, the entire small bowel is encapsulated by a fibrous capsule, and in type 3, the entire small bowel and other organs are encapsulated by a fibrous capsule. 15 All of our operated patients were type 2.…”

Section: Discussionmentioning

confidence: 95%

A Diagnostic Dilemma for Acute Abdomen: Sclerosing Encapsulating Peritonitis (Abdominal Cocoon Syndrome); A Retrospective Cohort Study

et al. 2021

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Background: Sclerosing encapsulating peritonitis (SEP) is a rare cause of acute abdomen and can be easily misdiagnosed. Preoperative diagnosis of the SEP can be performed with preoperative imaging studies. We aimed to evaluate the clinical features of ileus cases who were diagnosed with primary or secondary SEP in the last five years. Methods: This retrospective cohort study evaluated the patients who were admitted with ileus or acute abdomen symptoms to the Emergency Department of Elazığ Training and Research Hospital and underwent surgery by the same surgical team of General Surgery Department between January 2014 and January 2019. Patients who were diagnosed with primary or secondary SEP were included. The demographic data, clinical presentation, whether the disease was primary or secondary, the treatment options performed and mortality rates were evaluated. Results: SEP was observed in 11 of the patients. Ten patients underwent surgery (90.9%), and one patient (9.1%) was treated conservatively. Of the patients, six had secondary SEP (54.5%) and five had primary SEP (45.5%). In total, five patients were female (45.5%) and six were male (54.5%). The median age of the patients was 35 years (24-69). The median age of the patients with primary disease was 48 (29-69) years, while the median age of patients with secondary disease was 34.5 (24-64) years. One patient expired in the postoperative 8th hour. Conclusion: SEP should be considered in the case of recurrent abdominal pain attacks, especially in patients undergoing peritoneal dialysis, and it should be known that the mortality rate is high when misdiagnosed.

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“…Manifestation of clinical symptoms depends on the extent of the fibrous capsule and has non-specific presentation, making the diagnosis challenging [19]. The most common presentation in Cocoon syndrome is acute abdomen and small-bowel obstruction.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Chronic symptoms are abdominal tension, changes in bowel habits, mild abdominal pain and non-frequently anorexia and weight loss [19]. Abdominal ascites might be detected in longstanding cases [1].…”

Section: Clinical Presentationmentioning

confidence: 99%

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Abdominal Cocoon Syndrome in a 13-Weeks Pregnant Woman

Palacio-Lopez¹,

Garcia-Blanco²,

GonzalezHermosillo³

et al. 2021

Rejr

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ncapsulating peritoneal sclerosis, also known as abdominal Cocoon syndrome (ACS) is a rare condition presenting with small-bowel obstruction due to a thick fibrous membrane encasing portions of the intestine. We present the case of a 29-years-old pregnant woman referring to abdominal pain in the last three days. Her past medical and surgical history was unremarkable, and she had never complained of similar symptoms ever before; she had no history of previous abdominal operations or medication. On clinical examination, the abdomen was tender and distended; the patient was pregnant; the US was ordered, and analysis revealed a 13-weeks old fetus.This report aimed to evaluate the radiological and clinical characteristic of ACS in a pregnant patient using MRI.

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Two Different Clinical Approaches with Mortality Assessment of Four Cases: Complete and Incomplete Type of Abdominal Cocoon Syndrome

Cited by 7 publications

References 14 publications

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

A Diagnostic Dilemma for Acute Abdomen: Sclerosing Encapsulating Peritonitis (Abdominal Cocoon Syndrome); A Retrospective Cohort Study

Abdominal Cocoon Syndrome in a 13-Weeks Pregnant Woman

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