Abdominal cocoon in a young man

Jayant, Mayank; Kaushik, Robin

doi:10.5847/wjem.j.issn.1920-8642.2014.03.014

Cited by 4 publications

(5 citation statements)

References 5 publications

(14 reference statements)

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“…During surgery, the relationship between intestinal canal and mass should be carefully observed to avoid unnecessary resection. Extensive adhesiolysis for achieving complete excision of the capsule should not be carried out, so as not to damage the intestine or small intestinal vessels which lead to intestinal fistula or necrosis [19]. Furthermore, laparoscope for abdominal cocoon also achieved good results [20].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature

Zhou

Xie

et al. 2020

BMC Surg

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Background: Cocoon abdomen is a relatively rare abdominal disease characterized by the total or partial encasement of the small intestinal by a dense fibro-collagenous membrane. Case presentation: We reported an unusual case of idiopathic cocoon abdomen with congenital colon malrotation. Laparotomy and sac release were performed on the patient. The patient was no recurrence 6 months after operation. A literature review was also performed. Conclusion: Preoperative diagnosis of abdominal cocoon is difficult. A careful history, physical examination and appropriate radiology may be helpful in making a definitive diagnosis. If conservative treatment can't relieve symptoms effectively, surgery is currently considered to be important in the management of this disease.

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Section: Discussionmentioning

confidence: 99%

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature

Zhou

Xie

et al. 2020

BMC Surg

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“…Sclerosing encapsulating peritonitis (SEP) is characterised by the formation of a fibrous membrane encasing a variable length of small bowel loops. The small bowel loops tend to adhere with each other leading to mechanical compression, kinking or fibrotic constriction and may present with non-strangulating small bowel obstruction 3 4. Such a membrane can be formed secondary to numerous causes leading to chronic peritonitis and peritoneal fibrogenesis 3.…”

Section: Discussionmentioning

confidence: 99%

“…The patient may develop complete intestinal obstruction requiring an emergency surgery which has a very high mortality rate 5. The typical CT findings along with histopathology finding of fibrocollagenous tissue with a mixed inflammatory infiltrate provide the complete diagnosis of idiopathic sclerosing encapsulating peritonitis when all other possible underlying predisposing conditions are excluded 4…”

Section: Discussionmentioning

confidence: 99%

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Abdominal cocoon: preoperative diagnosis on CT

Mohakud¹,

Juneja

Lal

2019

BMJ Case Rep

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A 23-year-old man presented to the emergency department with a history of recurrent episodes of subacute intestinal obstruction. Palpation revealed a firm, non-tender, mobile, non-pulsatile mass of size 8–10 cm with indistinct margins and smooth surface in the hypogastrium. Contrast-enhanced CT scan of the abdomen showed clumping of the small bowel loops within a well-defined membrane-like structure without dilatation or thickening of bowel loops. The patient underwent a laparotomy with incision of the membrane and separation of all the small bowel loops inside the cocoon. Abdominal cocoon is the idiopathic variety of sclerosing encapsulating peritonitis and is an unusual cause of acute or subacute intestinal obstruction. Clinical diagnosis is difficult because of non-specific symptoms. CT has facilitated accurate preoperative diagnosis, long before the patient presents with full-fledged symptoms of acute intestinal obstruction. CT scan plays a significant role in excluding the secondary causes and helps in patient management.

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“…Commonly, the cause included adhesions, bands, inguinal hernia and tuberculosis. The 'cocoon' remains an obscure and relatively uncommon cause (1). Abdominal cocoon is a rare condition that refers to total or partial encapsulation of the small bowel by a fibrocollagenous membrane or cocoon with local inflammatory infiltrate leading to acute, subactue or chronic bowel obstruction.…”

Section: Introductionmentioning

confidence: 99%

A Unusual Cause of Intestinal Obstruction: Abdominal Cocoon

Shen¹,

Shi²,

Cui³

et al. 2016

West Indian Med J

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Abdominal cocoon syndrome is a rare cause of intestinal obstruction, which is difficult to diagnose preoperatively. We report a case of abdominal cocoon. A 47-year-old male patient was referred to the general surgery department with complaints of abdominal pain, distension, nausea, vomiting for one day. The abdominal CT examination detected dilated small intestinal loops clustered in the abdomen surrounded by a saclike membrane. During exploratory surgery, a capsular structure was identified in the lower quadrant with a regular surface that was solid-fibrous in nature. The combination of physical examination, imaging signs and the medical history, may be helpful in diagnosis.

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Abdominal cocoon in a young man

Cited by 4 publications

References 5 publications

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature

Abdominal cocoon: preoperative diagnosis on CT

A Unusual Cause of Intestinal Obstruction: Abdominal Cocoon

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