Persistent ascites due to sclerosing encapsulating peritonitis mimicking ovarian carcinoma: A case report
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Case Report
P: 201-203
September 2014

Persistent ascites due to sclerosing encapsulating peritonitis mimicking ovarian carcinoma: A case report

J Turk Ger Gynecol Assoc 2014;15(3):201-203
1. Department Of Obstetrics And Gynecology, Düzce University Faculty Of Medicine, Düzce, Turkey
2. Department Of Gynecologic Oncology, Zekai Tahir Burak Women’S Health Education And Research Hospital, Ankara, Turkey
No information available.
No information available
Received Date: 08.08.2013
Accepted Date: 02.11.2013
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ABSTRACT

Sclerosing encapsulating peritonitis, also known as ‘Cocoon Syndrome’, is a rare cause of bowel obstruction. The condition might be congenital or acquired and has non-specific symptomatology. Abdominal pain occurs due to the limitation of intestinal motility or segment obstruction by a thick homogenous fibrotic mantle covering the intra-peritoneal organs. Altered peritoneal fluid dynamics result in persistent ascites. Leading pathogenic theories are not well defined, but genetic factors, retrograde trans-tubal flow of causative agents, peritoneal infections, medications and peritoneal invasive procedures are all thought to play a role. There are no specific diagnostic criteria and exact diagnosis is only confirmed during surgery when the investing thick fibrous folds covering the bowel loops are visualised. We present here a case that had been suspected to have an ovarian malignancy due to a huge abdominal heterogeneous mass and ascites on preoperative diagnostic workup, but had a final diagnosis of abdominal Cocoon Syndrome made during surgery.