Abdominal Cocoon Syndrome: a Rare Cause for Recurrent Abdominal Pain

Fursevich, Dzmitry; Burt, Jeremy R.

doi:10.1007/s11605-017-3358-5

Cited by 4 publications

(4 citation statements)

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“…As a result, 97 articles were included in our study. [3–41] The flow diagram of the study is shown in Figure 4. These articles were carefully studied, and a database with the patients’ characteristics was made, which could be available if requested.…”

Section: Methodsmentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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Background: Abdominal cocoon or sclerosing encapsulating peritonitis is an uncommon condition in which the small bowel is completely or partially encased by a thick fibrotic membrane. Our study presents a case of sclerosing encapsulating peritonitis and conducts a literature review.Methods: A bibliographic research was conducted. Our research comprised 97 articles. Gender, age, symptoms, diagnostic procedures, and treatment were all included in the database of patient characteristics.Case presentation: A 51-year-old man complaining of a 2-day history of minor diffuse abdominal pain, loss of appetite, and constipation was presented in emergency department. Physical examination was indicative of intestinal obstruction. Laboratory tests were normal. Diffuse intraperitoneal fluid and dilated small intestinal loops were discovered on computed tomography (CT). An exploratory laparotomy was recommended, in which the sac membrane was removed and adhesiolysis was performed. He was discharged on the tenth postoperative day.Results: There were 240 cases of abdominal cocoon syndrome in total. In terms of gender, 151 of 240 (62.9%) were male and 89 of 240 (37%) were female. Ages between 20 and 40 are most affected. Symptoms include abdominal pain and obstruction signs. For the diagnosis of abdominal cocoon syndrome, CT may be the gold standard imaging method. The surgical operation was the treatment of choice in the vast majority of cases (96.7%). Only 69 of 239 patients (28.9%) were detected prior to surgery, and CT was applied in these cases. Conclusion:Abdominal cocoon is a rare condition marked by recurrent episodes of intestinal obstruction. Surgical therapy is the most effective treatment option.

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Section: Methodsmentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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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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“…Abdominal cocoon is more common in men, and the ratio of male to female is about 1.2-2:1 (5,6). Abdominal cocoon is a rare peritoneal disease that was first reported and named by Foo et al It is characterized by small intestinal obstruction caused by all or part of the small intestine covered by a dense fibrous membrane, also known as idiopathic sclerosing peritonitis, small intestinal incarceration, and small intestinal fibrous membrane entrapment (7,8).…”

Section: Discussionmentioning

confidence: 99%

Abdominal Cocoon With Intestinal Perforation: A Case Report

Shi

Sun

2021

Front. Surg.

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Introduction: Abdominal cocoon is a very rare abdominal disease. Abdominal cocoon mainly leads to intestinal obstruction, and abdominal cocoon with gastrointestinal perforation is rare.Case Presentation: We report a 63-year-old man who was admitted to our hospital with “persistent lower abdominal pain for one day”. Abdominal CT examination revealed a small amount of free gas in the abdominal cavity, ascites, and gastrointestinal perforation. An emergency operation was performed. During the operation, the end of the right lower abdominal ileum was found to be conglutinated and twisted into a mass, a local intestinal dilatation, and obstruction, local intestinal wall was black and gangrene, and fecal effusion flowed out. The adhesions were carefully separated, and the necrotic small intestine was removed. The operation process went smoothly, and the patient recovered well after the operation.Conclusion: The cases of intestinal perforation caused by the abdominal cocoon are very rare. In clinical work, when we encounter patients with gastrointestinal perforation, we need to carefully ask the history. When the patients had no digestive system diseases in the past, we need to consider the possibility of the abdominal cocoon with perforation.

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Abdominal Cocoon Syndrome: a Rare Cause for Recurrent Abdominal Pain

Cited by 4 publications

References 0 publications

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

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

Abdominal Cocoon With Intestinal Perforation: A Case Report

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