An unusual small bowel obstruction (abdominal cocoon): a case report

Rasihashemi, Seyed Ziaeddin; Ramouz, Ali; Ebrahimi, Faeghe

doi:10.1590/s0102-67202014000100019

Cited by 10 publications

(6 citation statements)

References 11 publications

(25 reference statements)

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“…Abdominal cocoon is rare, and most cases are diagnosed during exploratory laparotomy. It often presents with unexplained abdominal pain, abdominal distension, or intestinal obstruction ( 8 – 10 ). Typical abdominal CT scans show that the bowel is twisted and folded in the shape of an accordion, or a banana surrounded by a layer of dense linear membrane, and the mesenteric and blood vessels are often involved, twisted, and deformed ( 6 , 11 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula

et al. 2022

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IntroductionAbdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.Case PresentationWe admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo-colonic fistula. She was admitted to our hospital for the following reasons: “the menstrual cycle is prolonged for half a year, and fatigue, palpitations, and shortness of breath for 2 months”. On the morning of the 4th day of admission, the patient experienced sudden, severe, and intolerable abdominal pain after defecating. An emergency abdominal CT examination revealed intestinal obstruction. Surgery was performed, and the small intestine and colon were observed to be conglutinated and twisted into a mass surrounded by a fibrous membrane, and an enteroenteric fistula was observed between the jejunum, ileum, and sigmoid colon. We successfully relieved the intestinal obstruction and performed adhesiolysis. The patient was discharged from our hospital on the 6th postoperative day, then she recovered and was discharged from Feicheng People's Hospital after another 11 days of conservative treatment, and she recovered well-during the 2-month follow-up period.ConclusionAbdominal cocoon coexisting with a jejuno-ileo-colonic fistula is very rare. During the process of abdominal cocoon treatment, the patient's medical history should be understood in detail before the operation, and the abdominal organs should be carefully evaluated during the operation to avoid missed diagnoses.

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Section: Discussionmentioning

confidence: 99%

Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula

et al. 2022

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“…Secondary SEP, where an identifiable etiology is present, is more common and associated with peritoneal dialysis, peritoneal venous shunting, beta-blocker use, penetrating abdominal injuries, tuberculosis, sarcoidosis, as well as liver transplantation [ 1 , 2 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…If no etiology is identified, the entity is labeled as primary or idiopathic SEP, also known as the abdominal cocoon syndrome (ACS). Known causes of secondary SEP include peritoneal dialysis, pelvic inflammatory disease, disseminated tuberculosis, and sarcoidosis [ 1 ]. SEP has also been known to occur in patients with a history of liver transplants [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Cocoon Syndrome: A Laparoscopic Approach

Aziz¹,

Malik²,

Haseeb³

et al. 2021

Cureus

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Sclerosing encapsulating peritonitis, or abdominal cocoon syndrome (ACS), is a rare cause of intestinal obstruction in which the small bowel is encapsulated by a fibro-collagenous membrane. We present the case of a 29-year-old male who presented to us with acute intestinal obstruction. The imaging performed suggested the presence of ACS. The patient underwent laparoscopic adhesiolysis and the small bowel was released. In cases of recurrent small bowel obstruction, a high index of suspicion is required for the diagnosis of ACS. Computed tomography can be a useful imaging modality, and surgery remains the mainstay of treatment.

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“…The diagnosis of SEP is clinical, usually characterized as recurrent acute, subacute, or chronic episodes of bowel obstruction 9 , and confirmed by radiological and/or histopathological findings or laparotomy 2,10,11 .…”

Section: Introductionmentioning

confidence: 99%

Peritonite Esclerosante Encapsulante Idiopática: Uma Causa Rara De Obstrução Intestinal

Rocha¹,

Rocha-Filho²,

Silva³

et al. 2022

Relatos Casos Cir.

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Introdução: A peritonite esclerosante encapsulante (PEE) é um processo inflamatório crônico e raro que envolve, por uma membrana fibrocolágena, total ou parcialmente, o intestino delgado, frequentemente resultando em obstrução intestinal devido à adesão das alças intestinais umas às outras. Pode ser primária, ou idiopática (também conhecida como "abdominal cocoon"), e secundária, na qual uma etiologia subjacente para a inflamação distribuída por essa membrana serosa pode ser definida. Clinicamente, a maioria dos indivíduos afetados apresentam episódios agudos, subagudos ou crônicos de obstrução intestinal, perda de peso, náuseas, vômitos, anorexia e desnutrição. Um diagnóstico préoperatório correto é profundamente difícil e possui pouca especificidade, portanto demandando um alto índice de suspeição clínica e permanecendo como um desafio para a maioria dos médicos, que ou nunca encontraram essa entidade ou negligenciam sua identificação ao conduzirem um paciente acometido. Relato do caso: Relatamos aqui o caso de um paciente do sexo masculino, de 68 anos de idade, que se queixava de dor abdominal cólica prolongada, com importante perda de peso e apresentava obstrução intestinal. Tomografia computadorizada de abdome mostrou um agregado de alças de intestino delgado, com uma delgada membrana em seu entorno. A laparotomia exploratória revelou PEE primária, confirmada pela análise histopatológica. Palavras-chave: Obstrução Intestinal. Peritonite. Fibrose Peritoneal.

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An unusual small bowel obstruction (abdominal cocoon): a case report

Cited by 10 publications

References 11 publications

Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula

Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula

Abdominal Cocoon Syndrome: A Laparoscopic Approach

Peritonite Esclerosante Encapsulante Idiopática: Uma Causa Rara De Obstrução Intestinal

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