title: Abdominal cocoon associated with endometriosis.
abstract: Abdominal cocoon is a rare cause of intestinal obstruction in adults. Diagnosis is usually established at laparotomy in patients with recurrent attacks of non-strangulating small bowel obstruction. A 40-year-old infertile Brazilian woman with intestinal obstruction and massive haemoserous ascites, due to coexistent ovarian endometriosis and abdominal cocoon, is reported. Abdominal pain, nausea, vomiting and a palpable mass, in addition to imaging of small bowel obstruction and thickened peritoneum, raised diagnostic suspicion. Higher awareness allows for early diagnoses and yields better results during management.
authors.affiliation: Department of Internal Medicine, Catholic University Medical Course, Armed Forces Hospital, Estrada do Contorno do Bosque s/n, Brasilia DF, Brazil. vitorinomodesto@gmail.com
authors.forename: V M
authors.initials: VM
authors.lastname: Santos
authors.forename: E R
authors.initials: ER
authors.lastname: Barbosa
authors.forename: S H M
authors.initials: SH
authors.lastname: Lima
authors.forename: A S
authors.initials: AS
authors.lastname: Porto
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010538:Peritonitis / Q000150:complications*