Idiopathic encapsulating peritoneal sclerosis: a case report


  • Nisha Gautam Department of General Surgery, Ram Manohar Lohia Hospital, New Delhi, India
  • C. K. Durga Department of General Surgery, Ram Manohar Lohia Hospital, New Delhi, India



Encapsulating peritoneal sclerosis, Small bowel obstruction


Idiopathic encapsulating peritonitis sclerosis is a rare cause of small bowel obstruction. It is diagnosed by the presence of dense white fibrotic membrane encasing a part or the entire small bowel. Diagnosis is usually made intraoperatively and the treatment is usually surgical. We report a case of 16 years old female with idiopathic encapsulating peritoneal sclerosis who presented with the features of recurrent intestinal obstruction. Surgical excision of the fibrotic sac and adhesiolysis was done.


Akbulut S, Yagmur Y, Babur M. Coexistence of abdominal cocoon, intestinal perforation and incarcerated Meckel's diverticulum in an inguinal hernia: A troublesome condition. World J Gastrointest Surg. 2014;6(3):51-4.

Tannoury JN, Abboud BN. Idiopathic sclerosing encapsulating peritonitis: abdominal cocoon. World J Gastroenterol. 2012;18(17):1999-2004.

Li N, Zhu W, Li Y, Gong J, Gu L, Li M, et al. Surgical treatment and perioperative management of idiopathic abdominal cocoon: single-center review of 65 cases. World J Surg. 2014;38(7):1860-7.

Solak A, Solak I. Abdominal cocoon syndrome: preoperative diagnostic criteria, good clinical outcome with medical treatment and review of the literature. Turk J Gastroenterol. 2012;23(6):776-9.

Serter A, Kocakoc E, Cipe G. Supposed to be rare cause of intestinal obstruction; abdominal cocoon: report of two cases. Clin Imaging. 2013;37(3):586-9.

Xu P, Chen LH, Li YM. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases. World J Gastroenterol. 2007;13(26):3649-51.

Habib SM, Betjes MG, Fieren MW, Boeschoten EW, Abrahams AC, Boer WH, et al. Management of encapsulating peritoneal sclerosis: a guideline on optimal and uniform treatment. Neth J Med. 2011;69(11):500-7.

Mann RD. An instructive example of long-latency adverse drug reaction–sclerosing peritonitis due to practolol. Pharmacoepidemiol Drug Saf. 2007;16(11):1211-6.

Levine S, Saltzman A. Abdominal cocoon: an animal model for a complication of peritoneal dialysis. Perit Dial Int. 1996;16(6):613-6.

Suh WN, Lee SK, Chang H, Hwang HJ, Hyung WJ, Park YN, et al. Sclerosing encapsulating peritonitis (abdominal cocoon) after abdominal hysterectomy. Korean J Intern Med. 2007;22(2):125-9.

Singh B, Gupta S. Abdominal cocoon: a case series. Int J Surg. 2013;11(4):325-8.






Case Reports