Abstract

Encapsulatingmeconiumperitonitisis a very rare digestive pathology. It is a peritonealfibrosisthat can evolveinto a peritonealshell, envelopingsome or all of the intestinal loops and forming the cocoon. This peritonitisiscaused by meconiumleakinginto the peritonealcavityfollowing perforation of the fetal intestine. It can bediagnosedantenatally. Definitivetreatmentisbased on dissection and excision of the abdominal cocoon.We report a case of a newborn patient, admitted to the National Reference Center of Neonatology and Nutrition (NRCN) for an encapsulatingmeconiumperitonitissecondary to perforation of the smallbowel, whobenefitedfrom conservative treatment and whoseevolutionwasmarked by the onset of malabsorption syndrome andexudativeenteropathy, thencomplicated by a severesepsis.

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