Abdominal Cocoon Syndrome following Primary Subfertility Management with IVF-ET

  • Asmita Pandey Department of Obstetrics and Gynaecology, Kathmandu Medical College-Teaching Hospital, Sinamangal, Kathmandu, Nepal.
  • Chanda Karki Department of Obstetrics and Gynaecology, Kathmandu Medical College-Teaching Hospital, Sinamangal, Kathmandu, Nepal.
  • Meena Thapa Department of Obstetrics and Gynaecology, Kathmandu Medical College-Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Abstract

Abdominal cocoon syndrome is a rarely encountered surgical emergency first described by Foo et al. in 1978. This condition is characterised by a thick fibrous membrane which encases the small bowel partially or completely. Diagnosis of this condition is usually made per operatively and the treatment of choice is surgical release of entrapped bowel.

This is a case report of abdominal cocoon syndrome diagnosed during laparotomy done with the provisional diagnosis of abdominal pregnancy following In vitro fertilization- embryo transfer. A 30 Years lady was admitted at Kathmandu Medical College for suspected ovarian hyper stimulation syndrome following IVF-ET. 

Sub fertility is a common gynecological problem. Its management may sometimes produce challenging health hazards. Thorough screening for medical and surgical illness is very important before proceeding to any kind of assisted reproductive technologies. A multidisciplinary approach is very important to manage such cases.

Published
2018-08-31
How to Cite
Pandey, A., Karki, C., & Thapa, M. (2018). Abdominal Cocoon Syndrome following Primary Subfertility Management with IVF-ET. Journal of Nepal Medical Association, 56(212), 808-810. https://doi.org/10.31729/jnma.3683
Section
Case Reports