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Encapsulating Peritoneal Sclerosis: A Rare Cause of Acute and Recurrent Abdominal Pain; A Case Report of Abdominal Cocoon Syndrome | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 5، دوره 13، شماره 2، شهریور 2025 اصل مقاله (3.93 M) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2025.107962.1254 | ||
| نویسندگان | ||
| Seyyed Mohammad Kazem Tadayon1؛ Mohammad Mostafa Safarpour* 2؛ Amin Abolhasani Foroughi3؛ Mansoureh Shokripour4 | ||
| 1Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 2Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
| 3Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 4Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| چکیده | ||
| Encapsulating peritoneal sclerosis (EPS), also known as abdominal cocoon syndrome, is a rare condition that may present with abdominal pain or intestinal obstruction due to the encasement of bowel loops within a fibrocollagenous membrane. We report the case of a 27-year-old woman who presented with severe generalized abdominal pain, nausea, and vomiting that did not respond to conservative treatment. Physical examination revealed right lower quadrant tenderness, and subsequent exploratory laparotomy demonstrated abdominal cocoon syndrome associated with an appendiceal mucocele. This rare entity typically manifests as recurrent abdominal pain and obstructive symptoms, and while conservative therapy may provide transient relief, it often delays diagnosis. Surgical excision of the fibrous membrane with adhesionolysis remains the definitive treatment in severe cases. Abdominal cocoon syndrome should be considered in the differential diagnosis of unexplained abdominal pain and obstruction, as diagnosis is frequently established only intraoperatively. | ||
| کلیدواژهها | ||
| Encapsulating peritoneal sclerosis؛ Abdominal cocoon؛ Abdominal pain؛ Intestinal obstruction؛ Adhesion | ||
| مراجع | ||
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