ABDOMINAL COCOON SYNDROME IN A 13-WEEKS PREGNANT WOMAN

Fatima Palacio-Lopez1, Maria-del-Carmen Garcia-Blanco1, Leslie-Marisol Gonzalez-Hermosillo2, José-Alfredo Zuñiga-Montiel3, Ernesto Roldan-Valadez4,5

Encapsulating peritoneal sclerosis, also known as abdominal Cocoon syndrome (ACS) is a rare condition presenting with small-bowel obstruction due to a thick fibrous membrane encasing portions of the intestine. We present the case of a 29-years-old pregnant woman referring to abdominal pain in the last three days. Her past medical and surgical history was unremarkable, and she had never complained of similar symptoms ever before; she had no history of previous abdominal operations or medication. On clinical examination, the abdomen was tender and distended; the patient was pregnant; the US was ordered, and analysis revealed a 13-weeks old fetus.

This report aimed to evaluate the radiological and clinical characteristic of ACS in a pregnant patient using MRI.

 

1 - Department of Radiology, Hospital Angeles Acoxpa. Mexico City, Mexico.

2 - Escuela de Medicina, Universidad de Guadalajara. Jalisco State, Mexico.

3 - Division of Gynaecology, Hospital Angeles Acoxpa. Mexico City, Mexico.

4 - Hospital General de Mexico "Dr Eduardo Liceaga". Mexico City, Mexico.

5 - I.M. Sechenov First Moscow State Medical University (Sechenov University), Department of Radiology. Moscow, Russia.

Keywords: encapsulating peritoneal sclerosis, peritoneal encapsulation, abdominal cocoon syndrome.

 


Corresponding author:  Maria-del-Carmen Garcia-Blanco, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript , Ernesto Roldan-Valadez, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Fatima Palacio-Lopez, Maria-del-Carmen Garcia-Blanco, Leslie-Marisol Gonzalez-Hermosillo, José-Alfredo Zuñiga-Montiel, Ernesto Roldan-Valadez. Abdominal cocoon syndrome in a 13-weeks pregnant woman. REJR 2021; 11(3):198-203. DOI: 10.21569/2222-7415-2021-11-3-198-203.

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Received: 26.06.21                 Accepted: 30.08.21