CT in predicting abdominal cocoon in patients on peritoneal dialysis

Loock, M.; Lubrano, Jean; Courivaud, Cécile; Vautrin, C. Bresson; Kastler, B.; Delabrousse, Éric

doi:10.1016/j.crad.2010.06.014

Cited by 13 publications

(3 citation statements)

References 27 publications

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“…In addition, incidence of SEP is not infrequent in patients with ambulatory peritoneal dialysis, suggesting that this condition may represent an etiology of secondary SEP [6,10] . Other cases of SEP have been reported in patients with abdominal tuberculosis, sarcoidosis, gastrointestinal malignancies, systemic lupus erythematosus, familial Mediterranean fever, with fibrogenic foreign materials, undergoing beta-blocker (practolol) therapy [4,7,[9][10][11][12] , fitted with ventriculoperitoneal and peritoneovenous shunts, recipients of orthotopic liver transplantation, and suffering from recurrent peritonitis attacks [6] . The current patient, described herein, had no chronic disease history and normal test results from biochemical (erythrocyte sedimentation rate) and microbiological (blood and peritoneal fluid culture, and PPD skin test) assays.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of abdominal cocoon, intestinal perforation and incarcerated Meckel’s diverticulum in an inguinal hernia: A troublesome condition

Akbulut

Yağmur

Babur

2014

WJGS

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Sclerosing encapsulating peritonitis (SEP) is a rare disease entity, in which the small intestine becomes encased and mechanically obstructed by a dense, fibrotic membrane. The disorder is characterized as either primary (idiopathic) or secondary to other causes. The idiopathic cases of SEP, which lack any identifiable etiology according to clinical, radiological and histopathological findings, are also reported under the designation of abdominal cocoon syndrome. The most frequent presenting symptoms of all SEP cases are nausea, vomiting, abdominal distention and inability to defecate, all of which are associated with the underlying intestinal obstruction. Persistent untreated SEP may advance to intestinal perforation, representing a life-threatening condition. However, preoperative diagnosis remains a particular clinical challenge, and most diagnoses are confirmed only when the typical fibrous membrane encasing the small intestine is discovered by laparotomy. Here, we report the clinical presentation of an 87-yearold male with signs of intestinal obstruction and the ultimate diagnosis of concurrent abdominal cocoon, right incarcerated Meckel's diverticulum, and gastrointestinal perforation in laparotomy.

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Section: Discussionmentioning

confidence: 99%

Coexistence of abdominal cocoon, intestinal perforation and incarcerated Meckel’s diverticulum in an inguinal hernia: A troublesome condition

Akbulut

Yağmur

Babur

2014

WJGS

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“…Since the clinical presentation is often with abdominal pain and intestinal obstruction, the differential diagnosis includes any condition which can cause intestinal obstruction like intestinal strictures, intestinal masses, intestinal tuberculosis, peritoneal mesothelioma, peritoneal carcinomatosis and peritoneal encapsulation [1]. The patients with abdominal cocoon need to be evaluated for possible underlying etiological factors including peritoneal dialysis associated cocoon, tubercular abdominal cocoon, drug related, post-operative, or idiopathic [1,3,5].…”

Section: Discussionmentioning

confidence: 99%

Significance of Bottle Gourd sign on computed tomography in patients with abdominal cocoon: a case series

Sharma

Mandavdhare

Singh

et al. 2019

Medicine and Pharmacy Reports

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Abdominal cocoon is an uncommon entity manifesting as abdominal pain, lump and features of intestinal obstruction. The diagnosis is established by demonstrating a membranous sac covering the small bowel loops which can be seen at the time of surgery or demonstrated by imaging studies like computed tomography (CT) or magnetic resonance imaging. CT has been reported to be of utility in making a preoperative diagnosis. The features may include clumped bowel loops, loculated fluid, cauliflower sign or concertina arrangement of bowel loops. We report on three cases of abdominal cocoon who presented with intestinal obstruction due to three varied etiologies (idiopathic, tuberculosis, malignancy). We also describe a radiological sign, the bottle gourd sign, in these three cases. The sign possibly suggests jejunal obstruction due to formation of abdominal cocoon.

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“…In our data, there were only 3 cases diagnosed before operation. The examination of barium-contrast X-ray and high-resolution magnetic resonance imaging (MRI) or computed tomography (CT) might be helpful for the definitive preoperative diagnosis of AC to some extent [19][20][21][22][23].…”

Section: Diagnosis and Classificationmentioning

confidence: 99%