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Peritonitis with abdominal cocoon

Case contributed by: Dr Amro Nazih Omar

Presentation:

Abdominal pain.

Patient Data:

Age: young adult

Gender: Male

From the case: Peritonitis with abdominal cocoon

Modality: CT

C+ portal venous phase

Fungal peritonitis (proved by ascitic tapping) with abdominal cocoon in immunocompromized young patient who underwent failed kidney transplant (please note the absent native kidneys).

Case Discussion:

Abdominal cocoon (also know as sclerosing encapsulating peritonitis) is rare and represents fibrosing peritonitis with resulting in encasement of the small bowel.

Related articles

References:

1. Hur J, Kim KW, Park MS et-al. Abdominal cocoon: preoperative diagnostic clues from radiologic imaging with pathologic correlation. AJR Am J Roentgenol. 2004;182 (3): 639-41. AJR Am J Roentgenol (full text) - Pubmed citation