cocoon abdomen
DESCRIPTION
two cases of cocoon abdomen and use of imaging modalities to make pre operative diagnosis of this rare conditionTRANSCRIPT
Endoscopy Conclave One Day Live Endoscopic Workshop & CME
01.09.2013Sunday, 8am-6pm
AC Auditorium-Level V@ Lotus hospital, Erode
Hosted byIMA TN SB- AMS Wing
IMA Erode BranchASI Erode City Chapter
Delegates: Rs:1000/- Postgraduates: Rs: 500/-
Morning Session: ( 8am-1`pm)•Live Endoscopy workshop: Basic
Diagnostic/ Banding of Varices/SclerotherapyDilatation of Stricture esophagus
•10 min Lectures on ‘Endoscopic Practice Guidelines ‘Endoscopic management of Corrosive stricture: When and How?:Management of variceal bleeding: Before and after endotherapy:Role of endoscopy in Upper GI malignancyFB esophagus:
•Live Endoscopy Workshop: AdvancedStent deployment/Glue Injection of Fundal varicesPolypectomy
•‘Futuristic’ Lectures:Tomorrow’s World of EndoscopyWhy surgeons should always be doing endoscopy?:Endoscopy in the era of Laparoscopy:
•Endo quiz: SEMPost Lunch Session(2-4pm)•Panel Discussion: Team approach in the management of GI disorders:
GERD, Achalasia, Upper GIBleeding , Bile duct stones, •Live Colonoscopy/ERCP Workshop
Colonoscopic polypectomyBile duct stone removal/StentingPancreatic endotherapy
•Challenging situations for endoscopistUpper GI bleeding with normal endoscopy: How to proceed?:Difficulty reaching caecum during Ccolonoscopy : Tricks of the Trade:
Post Tea Session( 4-6pm)•Humour in Gastroenterology•Convocation and Award Ceremony at 4.30pm
TWO CASES OF COCOON ABDOMEN
Dr.S.EaswaramoorthyLotus hospital, Erode
Cocoon abdomen: Case 1
50 year obese male
Chronic smoker/ non alcoholic
1 week of abdominal pain with vomiting and abdominal distension
X ray abdomen/US abdomen/Amylase
CT abdomen
Laparotomy
Excision of fibrous sac/Sent for HPEAdhesiolysisResection and anastomosis
Cocoon Abdomen: Case 2
2006
Cocoon Abdomen
Idiopathic sclerosing encapsulating peritonitis
Common in young women
Etiology Idiopathic
CAPD
VP shunt
SLE, sarcoidosis, cirrhosis
Tuberculosis?
Drugs: Practolol, Methotrexate
Foo KT, Ng KC, Rauff A, Foong WC, Sinniah R. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg 1978; 65:427 –430
Role of CT abdomen/Barium study
•Clustered dilated loops of small bowel encased by thick membrane like sac•Concertina like appearance/ U shaped cluster of bowel•Cauliflower sign•Mantle like lining•Delayed transit of contrast
Abdominal Coccoon
Excision of Fibrocollagenous sacAdhesiolysisResection/Anastomosis? Small bowel intubation
Type I : Part of the small intestineType II: whole of the small bowelType III: small and large bowel, ovary etc