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Tadayon, Seyyed Mohammad Kazem, Safarpour, Mohammad Mostafa, Abolhasani Foroughi, Amin, Shokripour, Mansoureh. (1404). Encapsulating Peritoneal Sclerosis: A Rare Cause of Acute and Recurrent Abdominal Pain; A Case Report of Abdominal Cocoon Syndrome. سامانه مدیریت نشریات علمی, 13(2), 68-72. doi: 10.30476/acrr.2025.107962.1254
Seyyed Mohammad Kazem Tadayon; Mohammad Mostafa Safarpour; Amin Abolhasani Foroughi; Mansoureh Shokripour. "Encapsulating Peritoneal Sclerosis: A Rare Cause of Acute and Recurrent Abdominal Pain; A Case Report of Abdominal Cocoon Syndrome". سامانه مدیریت نشریات علمی, 13, 2, 1404, 68-72. doi: 10.30476/acrr.2025.107962.1254
Tadayon, Seyyed Mohammad Kazem, Safarpour, Mohammad Mostafa, Abolhasani Foroughi, Amin, Shokripour, Mansoureh. (1404). 'Encapsulating Peritoneal Sclerosis: A Rare Cause of Acute and Recurrent Abdominal Pain; A Case Report of Abdominal Cocoon Syndrome', سامانه مدیریت نشریات علمی, 13(2), pp. 68-72. doi: 10.30476/acrr.2025.107962.1254
Tadayon, Seyyed Mohammad Kazem, Safarpour, Mohammad Mostafa, Abolhasani Foroughi, Amin, Shokripour, Mansoureh. Encapsulating Peritoneal Sclerosis: A Rare Cause of Acute and Recurrent Abdominal Pain; A Case Report of Abdominal Cocoon Syndrome. سامانه مدیریت نشریات علمی, 1404; 13(2): 68-72. doi: 10.30476/acrr.2025.107962.1254

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، صفحه 68-72    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
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