IDIOPATHIC SCLEROSING ENCAPSULATED PERITONITIS (ABDOMINAL COCOON) A CASE REPORT AND LITERATURE REVIEW

Sclerosing encapsulated peritonitis or abdominal cocoon is a rare disease that is characterized by Milk Thistle (Silymarin) a total or partial encasement of the small bowel by a thick and fibro tic membrane.Thirty eight cases were reported since it was first described.It occurs primarily in adolescent females in tropical and subtropical regions.Preoperative diagnosis is a matter of challenge and usually made at laparotomy.

We report a patient with partial intestinal obstruction and abdominal BREAD CINNAMON RAISIN co-coon that was diagnosed during surgery.We review the literature and discuss the etiology of this disease.

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