Abdominal cocoon associated with endometriosis.
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.
Santos
V M
VM
Department of Internal Medicine, Catholic University Medical Course, Armed Forces Hospital, Estrada do Contorno do Bosque s/n, Brasilia DF, Brazil. vitorinomodesto@gmail.com
Barbosa
E R
ER
Lima
S H M
SH
Porto
A S
AS
D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010538:Peritonitis / Q000150:complications*