Abdominal Cocoon caused by Endometriosis - A rare case report
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Abstract
Encapsulating peritonitis is an infrequent cause of intestinal obstruction in adult patients. The perito-neal membrane, which involves the mesentery, intestines stomach, liver, gallbladder, spleen, and pelvic organs, was first described and named the abdominal cocoon (AC) by Foo et al in 19781, Small bowel obstruction associated with Ab-dominal cocoons (AC) account for 0.4-4% of all intestinal obstruction encountered in surgical ad-missions2. We report a young adolescent girl 17 years old, who had intestinal obstruction and minimal haemoserous ascites due to coexistent Abdominal Cocoon and left ovarian endometriosis. Endome-triosis has rarely been associated with Abdominal Cocoon or haemoserous ascites. The clinical diagnosis of abdominal cocoon re-quires a high index of suspicion because of the nonspecific clinical picture and noncontributory imaging findings. Surgical treatment consisting of peritoneal sac excision and adhesiolysis is gener-ally successful.
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