Cocoon abdomen after chronic peritoneal dialysis.
A 66-year-old man presented with nausea, vomiting, and ascites. At laparotomy, an extensive fibrosis of the peritoneum was found to encase the bowel in a cocoon-like fashion. A meticulous dissection was undertaken to strip this encapsulating membrane from the bowel. Histologic study of the excised tissue disclosed extensive hyalinized fibroconnective tissue.
['Edmundson|Philip|P|', 'Adkins|Claire|C|', 'Smith|Bruce|B|']
peritoneal dialysis Ascites fibrosis hyalinized fibroconnective tissue bowel obstruction encapsulating peritoneal sclerosis