Case Report
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World J Gastrointest Surg. Mar 27, 2014; 6(3): 51-54
Published online Mar 27, 2014. doi: 10.4240/wjgs.v6.i3.51
Coexistence of abdominal cocoon, intestinal perforation and incarcerated Meckel’s diverticulum in an inguinal hernia: A troublesome condition
Sami Akbulut, Yusuf Yagmur, Mehmet Babur
Sami Akbulut, Yusuf Yagmur, Mehmet Babur, Department of Surgery, Diyarbakir Education and Research Hospital, Uckuyular Mevki, Diyarbakir 21400, Turkey
Author contributions: Akbulut S and Yagmur Y designed the report, were the attending doctors for the patient, and wrote the manuscript; Akbulut S and Babur M performed the surgical operation.
Correspondence to: Sami Akbulut, MD, FICS, FACS, Department of Surgery, Diyarbakir Education and Research Hospital, Uckuyular Mevki, Kayapinar, Diyarbakir 21400, Turkey. akbulutsami@gmail.com
Telephone: +90-412- 2580075 Fax: +90-412-2580070
Received: November 22, 2013
Revised: January 5, 2014
Accepted: February 16, 2014
Published online: March 27, 2014
Core Tip

Core tip: Abdominal cocoon syndrome, also known as idiopathic sclerosing encapsulating peritonitis, is a rare disease entity, in which the small intestine becomes encased and mechanically obstructed by a dense, fibrotic membrane. While some patients with cocoon syndrome remain asymptomatic, the majority experience gastrointestinal symptoms, including recurrent attacks of acute, sub-acute or chronic gastrointestinal obstruction, weight loss, loss of appetite, and development of a palpable abdominal mass. Herein, we describe an elderly patient who presented with signs of intestinal obstruction and who was diagnosed with concurrent abdominal cocoon, right incarcerated Meckel’s diverticulum, and gastrointestinal perforation by exploratory laparotomy.