Peritonitis with abdominal cocoon

Case contributed by Amro Omar
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: young adult
Gender: Male

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 known as sclerosing encapsulating peritonitis) is rare and represents fibrosing peritonitis with resulting in encasement of the small bowel. 

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