Bola Lukman Solanke, Olufemi Mayowa Adetutu, Kazeem Adebayo Sunmola, Ayodele Aderemi Opadere, Nurat Kehinde Adeyemi, Daniel Alabi Soladoye
Multi-level predictors of sexual autonomy among married women in Nigeria
BMC women's health
abdominal cocoon syndrome acs sclerosing encapsulating peritonitis sep rare cause intestinal obstruction bowel internal abdominal organs wrapped fibrocollagenous cocoonlike encapsulating membrane cocooning abdomen primarily manifests individuals undergoing peritoneal dialysis pd also reported occur spontaneously remarkably rare sep may present complete mechanical bowel obstruction select cases hereby report case 87yearold female patient prior history abdominal surgery presented emergency department clinical picture complete small bowel obstruction clinical radiological data suggestive strangulated midline hernia prompting therapeutic laparotomy surgical exploration revealed encasement small bowel loops within thick fibrocollagenous membrane efficient resolution achieved skillful adhesiolysis meticulous excision fibrocollagenous membrane sep prevalent men higher incidence observed tropical subtropical countries precise pathophysiology remains elusive hypothesized subclinical intraabdominal inflammation gives rise formation dense fibrocollagenous membrane membrane encapsulates intraperitoneal organs ultimately leading intestinal obstruction patients typically present recurrent history small bowel obstruction notably absence prior abdominal surgery abdominal ct scan experienced radiologist interpretation aid preoperative diagnosis cases nonoperative management fails recurrent obstructions persist surgical adhesiolysis stands wellestablished gold standard sep rare abdominal disease posing challenges preoperative diagnosis laparotomy plays important role diagnosis treatment primary objective surgical intervention release encapsulation bowel safeguard optimal functioning small intestines much possible