کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4289238 1612112 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Idiopathic sclerosing encapsulating peritonitis (abdominal cocoon) in adult male. A case report
ترجمه فارسی عنوان
پریتونیت ایدئوپاتیک اسکلروزیس (پوسیدگی شکمی) در مردان بالغ. گزارش مورد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

INTRODUCTIONAbdominal cocoon (sclerosing encapsulating peritonitis) (SEP) is a rare condition, mostly affecting adolescent girls living in tropical/subtropical region. Its etiology is unknown. It may cause acute or sub-acute intestinal obstruction.PRESENTATION OF CASEWe report here a 39 year old male who complained of long standing colicky abdominal pain, with significant weight loss. Abdomen CT scan showed clumping of ileal loops at the level of umbilicus, with a thin capsule surrounding it. Laparoscopy revealed abdominal cocoon, biopsy of which showed dense hypocellular fibro-collagenous tissue with no neoplastic or granulomatous process. Excision of fibrous tissue and release of adhesions was done. Patient was symptoms free after five months follow up.DISCUSSIONAbdominal exploration is usually needed for the diagnosis and treatment of abdominal cocoon. A thick fibrotic peritoneal wrapping of the bowel is usually found. Complete recovery is the result in majority of cases after surgical removal of the wrap causing the cocoon.CONCLUSIONPrimary sclerosing encapsulating peritonitis (cocoon abdomen) diagnosis needs a high index of suspicion, as signs and symptoms are nonspecific and imaging findings are not always conclusive. Careful excision of the accessory peritoneal sac and lysis of adhesions between bowels is the best treatment. Prognosis is generally good.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery Case Reports - Volume 5, Issue 10, 2014, Pages 735–738
نویسندگان
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