Idiopathic abdominal cocoon syndrome: Preoperative diagnosis with computed tomography

Karan, Adnan; Özdemir, Mustafa; Bostancı, Mustafa Taner; Bostancı, Erdal Birol

doi:10.5152/tjg.2015.7312

Cited by 3 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The idiopathic form of ACS is extremely rare, whereas the secondary form is more common [15]. Clinically, the syndrome presents with acute or subacute small intestinal obstruction, with the involvement of the stomach, large intestine, liver, or other abdominal organs occurring infrequently [14].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Cocoon Syndrome: Two Cases of an Anatomical Abnormality

Sovatzidis

Nikolaidou

Katsourakis

et al. 2019

Case Reports in Surgery

View full text Add to dashboard Cite

Introduction. Idiopathic sclerosing encapsulating peritonitis or abdominal cocoon syndrome (ACS) is a rare anatomical deformity characterized by the partial or complete encasement of the small intestine with fibrotic peritoneum. 193 cases have been described worldwide. The aim of this study is to present two cases of ACS successfully treated at the Surgical Clinic of the Agios Dimitrios General Hospital in Thessaloniki, Greece. Presentation of Cases. Two men (55 and 54 years old) presented to the emergency department complaining of abdominal pain, distension, constipation, nausea, and vomiting. Neither of these patients had any previous operations. The computed tomography scan of the first patient showed considerable distension of the small bowel, suggestive of internal herniation. The second case showed distention of the jejunum with no obvious cause. Both patients underwent emergency surgery. Intraoperatively, it was found that a fibrous membrane had completely covered the small intestine of the first patient and the jejunum and part of the large intestine of the second patient. Adhesiolysis and partial excision of the membrane were performed in both cases. Discussion. ACS is a rare cause of small bowel obstruction. Although conservative management with immunosuppressants and steroids has been described, surgical treatment is the gold standard. Conclusion. Preoperative clinical suspicion of this disease can help determine the diagnosis and protect surgeons from intraoperative “surprises”.

show abstract

Section: Discussionmentioning

confidence: 99%

Abdominal Cocoon Syndrome: Two Cases of an Anatomical Abnormality

Sovatzidis

Nikolaidou

Katsourakis

et al. 2019

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

The use of computed tomography in the diagnosis of abdominal cocoon

Gorsi¹,

Gupta²,

Mandavdhare³

et al. 2018

Clinical Imaging

View full text Add to dashboard Cite

Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction

Xiang

Yang

et al. 2016

WJG

View full text Add to dashboard Cite

Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction due to total or partial encapsulation of the small intestine by a fibrocollagenous membrane. Idiopathic ACS with abdominal cryptorchidism and greater omentum hypoplasia is even rarer clinically. We successfully treated a 26-year-old male case of small bowel obstruction with acute peritonitis. He was finally diagnosed with idiopathic ACS with unilateral abdominal cryptorchidism and greater omentum hypoplasia during exploratory laparotomy. He then underwent enterolysis, cryptorchidectomy, and appendectomy. He recovered gradually from the operations and early postoperative inflammatory ileus. There has been no recurrence of intestinal obstruction since the operation, and he is still in follow-up. We analyzed his clinical data and retrospectively reviewed the literature, and our findings may be helpful for the clinical diagnosis and treatment on ACS.

show abstract

Idiopathic abdominal cocoon syndrome: Preoperative diagnosis with computed tomography

Cited by 3 publications

References 5 publications

Abdominal Cocoon Syndrome: Two Cases of an Anatomical Abnormality

Abdominal Cocoon Syndrome: Two Cases of an Anatomical Abnormality

The use of computed tomography in the diagnosis of abdominal cocoon

Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction

Contact Info

Product

Resources

About