An Uncommon Case Report of Abdominal Cocoon

Abstract

The term “encapsulating peritoneal sclerosis” (EPS) refers to the uncommon and rare cause of intestinal blockage that is caused by abdominal cocoon. Retrograde menstruation-related viral peritonitis is the primary cause of EPS, and it is the reason for the history of peritoneal dialysis in young adolescent girls from tropical and subtropical countries. Most suffer from either stomach pain, which is most likely caused by a subacute intestinal blockage, or no symptoms at all. Results from imaging tests, such as computed tomography (CT), magnetic resonance imaging, and ultrasound, can be ambiguous. When intraabdominal fibroinflammatory processes are detected, the small intestine is partially or fully encased in a thick fibrocollagenous membrane that encircles it like a cocoon. The membrane impairs the movement of the gut, forming a fibrous tissue sheet that covers, fixes, and finely constricts the gut, resulting in symptoms that are commonly associated with an abdominal cocoon.