Case study on 23-year-old female with abdominal cocoon

Abstract

Abdominal cocoon which is also called as sclerosing encapsulating peritonitis is one of the rare cause of the gastro intestinal obstructions. It can cause complete encapsulation of the bowel by forming a thin layer around the bowel or partial encapsulation of the bowel in few cases. This condition is mostly seen in females than in males. We came across a rare case of abdominal cocoon in a 23 year old female patient presented with severe abdominal pain, vomiting’s and constipation since 2-3 days. She has a history of LSCS 2 months ago and suffered with recurrent suture site infections since the surgery. She was on medications like pain killers, antibiotics, anti emetics and antispasmodics. After all the laboratory investigations she was diagnosed with abdominal cocoon and complete enterolysis of the bowel through laprotomy with jejunostomy (on POD-3) was performed. She was recovered after 1 week.