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Cirujano general

versión impresa ISSN 1405-0099

Resumen

PEREZ-PONCE, Yisvanth; MENJIVAR-RIVERA, Oscar Mauricio; MARTINEZ-CORIA, Tatzari  y  GOMEZ-ALVARADO, Rocío Zeyla. Abdominal cocoon syndrome or sclerosing encapsulating chronic peritonitis, a rare cause of intestinal obstruction in the adult. Cir. gen [online]. 2019, vol.41, n.4, pp.307-313.  Epub 27-Nov-2020. ISSN 1405-0099.

Introduction:

Sclerosing encapsulating chronic peritonitis is a rare cause of small intestine obstruction. Primary presentation or abdominal cocoon syndrome is a uncommon malformation in development characterized by the envelopment of the small intestine, compromising totally o partially the full lenght of the intestine, secondary to a fibrotic tissue covering of the intestinal loops. This membrane is thick and fibrotic, resembling a cocoon; involving the small intestine, in other cases it can reach the stomach, colon, liver and spleen.

Case report:

Male, 35 years old, history of abdominal pain, three months before admission in the emergency department; the symptomatology progressively intensified. Surgical approach was decided, first with a laparoscopic managment, finding intestinal loops covered by a fibrotic tissue, compromising almost 75% of the small intestine. Abdominal cocoon syndrome is rare, however, the knowledge of this pathology is important to the surgeon because it mimics the common causes of surgical abdomen.

Palabras llave : Intestinal obstruction; cocoon abdomen; sclerosing encapsulating chronic peritonitis.

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