Abdominal cocoon: a rare cause of small bowel obstruction
Abstract
A 14-year-old girl presented with features suggestive of partial bowel obstruction with a palpable abdominal lump. As her symptoms did not respond to conservative treatment, she was taken for laparotomy. On laparotomy, cocoon looking thick white membrane was found encasing the whole length of small bowel. The cocoon was excised releasing the entrapped bowel. The patient was relieved of her symptoms following surgery. Histopathology of excised cocoon membrane revealed thick white membrane as fibrocollagenous tissue. The patient was discharged on seventh postoperative day. Follow-up over 8 months showed no clinical evidence of recurrence. The possibility of abdominal cocoon should always be considered in patients with partial bowel obstruction and abdominal lump, though it is a very rare entity causing small bowel obstruction.References
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Koirala K ... Abdominal cocoon
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11. Lalloo S, Krishna D, Maharajh J. Abdominal cocoon associated with tuberculous pelvic inflammatory disease. Br J Radiol 2002;75:174–6.
12. Al-Abassi AA, Emad M. Abdominal cocoon: an unusual cause of intestinal obstruction. Saudi Med J 2004;25:1482–1485.
13. Cai J, Wang Y, Xuan Z, et al. The abdominal cocoon: a rare cause of intestinal obstruction in two patients. Am Surg 2007;73:1133–1135.
14. Gupta S, Shirahatti RG, Anand J. CT findings of an abdominal cocoon. Am J Roentgenol 2004;183:1658– 1660.
15. Cleffken B, Sie G, Riedl R, et al. Idiopathic sclerosing encapsulating peritonitis in a young female— diagnosis of abdominal cocoon. J Pediatr Surg 2008;43:27–30.
16. Navani S, Shah P, Pandya S, et al. Abdominal cocoon– the cauliflower sign on barium small bowel series. Indian J Gastroenterol 1995;14:19.
17. Ghazi RQ, Zouhair A, Bilal NR, et al. Laparoscopic Diagnosis and Management of an Abdominal Cocoon: A Case Report and Literature Review. Surg Laparosc Endosc Percutan Tech 2010;20:69–e171.
2. Akca T. Image of the Month— Abdominal Cocoon. Arch Surg 2006;141:944.
3. Okamoto N, Maeda K, Fujisaki M, Sato H. Abdominal cocoon in a aged man: report of a case. Surg Today 2007;37:258–60.
4. Foo KT, Ng KC, Rauff A, et al. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg 1978;65:427–430.
5. Xu P, Chen LH, Li YM. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases. World J Gastroenterol 2007;13:3649– 3651.
6. Serafimidis C, Katsarolis I, Vernadakis S, et al. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon). BMC Surg 2006;6:3.
7. Herrero JC, Molina A, Lentisco C, et al. Sclerosing encapsulating peritonitis: a latent threat. Changes of posture in surgery treatment. Nefrologia 2007;27:729– 736.
8. Kaushik R, Punia RP, Mohan H, et al. Tuberculous abdominal cocoon–a report of 6 cases and review of the literature. World J Emerg Surg 2006;1:18.
9. Mohanty D, Jain BK, Agrawal J, et al. Abdominal cocoon: clinical presentation, diagnosis, and management. J Gastrointest Surg 2009;13:1160–1162.
Koirala K ... Abdominal cocoon
10. Maguire D, Srinivasan P, O’Grady J, Rela M, Heaton ND. Sclerosing encapsulating peritonitis after orthotopic liver transplantation. Am J Surg 2001;182:151–4.
11. Lalloo S, Krishna D, Maharajh J. Abdominal cocoon associated with tuberculous pelvic inflammatory disease. Br J Radiol 2002;75:174–6.
12. Al-Abassi AA, Emad M. Abdominal cocoon: an unusual cause of intestinal obstruction. Saudi Med J 2004;25:1482–1485.
13. Cai J, Wang Y, Xuan Z, et al. The abdominal cocoon: a rare cause of intestinal obstruction in two patients. Am Surg 2007;73:1133–1135.
14. Gupta S, Shirahatti RG, Anand J. CT findings of an abdominal cocoon. Am J Roentgenol 2004;183:1658– 1660.
15. Cleffken B, Sie G, Riedl R, et al. Idiopathic sclerosing encapsulating peritonitis in a young female— diagnosis of abdominal cocoon. J Pediatr Surg 2008;43:27–30.
16. Navani S, Shah P, Pandya S, et al. Abdominal cocoon– the cauliflower sign on barium small bowel series. Indian J Gastroenterol 1995;14:19.
17. Ghazi RQ, Zouhair A, Bilal NR, et al. Laparoscopic Diagnosis and Management of an Abdominal Cocoon: A Case Report and Literature Review. Surg Laparosc Endosc Percutan Tech 2010;20:69–e171.
Published
2015-03-20
How to Cite
KOIRALA, K et al.
Abdominal cocoon: a rare cause of small bowel obstruction.
J Soc Surg Nep, [S.l.], v. 14, n. 1, mar. 2015.
ISSN 2392-4772.
Available at: <https://www.jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=27>. Date accessed: 05 oct. 2024.
Issue
Section
Case Reports
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