Sclerosing encapsulating peritonitis in a young male secondary to Adenocarcinoma of the gastrointestinal tract

Abstract

Sclerosing encapsulating peritonitis or abdominal cocoon is a rare cause of small bowel obstruction. In the tropical countries, infectious etiologies like tuberculosis predominate, whereas in the Western world, gastrointestinal tract malignancies are more common and that too, in the elderly population. Here we present a case of a young male from the tropics, who presented to us with an abdominal cocoon, in whom an initial consideration of intestinal tuberculosis led to anti tubercular therapy which proved futile. A diagnosis of adenocarcinoma was eventually made on histopathology of omental tissue.