Cocoon abdomen

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