M. Arun kumar¹, Rajendra Garipelli², Ch Ravindar rao³

^1,2Postgraduate student,3Professor, Department of General Surgery, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India.

Address for correspondence: Dr. Rajendra Garipelli, Post graduate student, Department of General Surgery, Prathima Institute of Medical Sciences,Karimnagar,Telanagana,India.

Email: nanig2006@gmail.com

Introduction: The abdominal cocoon was described as a rare condition characterized by small bowel encapsulation leading to intestinal obstruction. In it a part or whole of small bowel is encapsulated within a dense fibrous membrane. It is also called as idiopathic sclerosing encapsulating peritonitis (SEP) or encapsulating peritoneal sclerosis (EPS). We report a young female who presented with intestinal obstruction with localized mass palpable on abdominal examination. At surgery laparotomy was performed and found partial encasement of small bowel within a dense fibrous sac and causing obstruction and the diagnosis of abdominal cocoon with acute intestinal obstruction was made. The sac was excised and the gut interloop adhesions were lysed. Outcome was satisfactory.

Keywords :Abdominal cocoon, sclerosing encapsulating peritonitis, intestinal obstruction, dense fibrous adhesions