@article{Basu_Hassan_Zaman_Islam_Alam_Jamil_Ahmed_Hossain_2014, title={Abdominal cocoon}, volume={5}, url={https://www.banglajol.info/index.php/PULSE/article/view/20269}, DOI={10.3329/pulse.v5i2.20269}, abstractNote={<p><strong>Background </strong>The abdominal cocoon syndrome was first described as a rare condition where part of or the whole small bowel is encased within a fibrous membrane. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. But preoperative diagnosis can be made.</p> <p><strong>Case presentation </strong>This report is of a 27-year-old Bangladeshi male who presented with increasing abdominal pain and features of subacute intestinal obstruction. He had a history appendicectomy 2 months back through grid iron incision in a peripheral hospital. Pre-operative work-up did not reveal a sac like structure encasing small intestinal loops. At computed tomography of the abdomen and pelvis, a huge cystic structure was seen encasing loops of small bowel. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of primary abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. No evidence of Kochs noted in the abdomen or on histopathology of tissue sent for examination.</p> <p><strong>Conclusion </strong>Abdominal cocoon is a rare cause of small bowel obstruction, but should be suspected especially in cases with attacks of non strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel obstruction. Clinicians must rigorously pursue a preoperative diagnosis. The overall prognosis is satisfactory.</p> <p>DOI: <a href="http://dx.doi.org/10.3329/pulse.v5i2.20269">http://dx.doi.org/10.3329/pulse.v5i2.20269</a></p> <p><em>Pulse</em> Vol.5 July 2011 p.61-64</p>}, number={2}, journal={Pulse}, author={Basu, SK and Hassan, R and Zaman, CA and Islam, KMS and Alam, JMHQ and Jamil, M and Ahmed, N and Hossain, D}, year={2014}, month={Aug.}, pages={61–64} }