The Abdominal Cocoon: A Rare Cause of Intestinal Obstruction

The abdominal cocoon is a very rare entity leading to bowel obstruction. A 30-year-old man was admitted to the emergency department with symptoms and signs of mechanical intestinal obstruction. In addition to these, the recurrent episodes of obstruction in the patient's history and palpable abd...

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Bibliographic Details
Published in:Acta chirurgica belgica 2010-05, Vol.110 (3), p.396-398
Main Authors: GURLEYIK, G, EMIR, S, SAGLAM, A
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small - surgery
Male
Medical sciences
Other diseases. Semiology
Peritoneal Fibrosis - diagnosis
Peritoneal Fibrosis - surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:The abdominal cocoon is a very rare entity leading to bowel obstruction. A 30-year-old man was admitted to the emergency department with symptoms and signs of mechanical intestinal obstruction. In addition to these, the recurrent episodes of obstruction in the patient's history and palpable abdominal mass found during the physical examination, appeared as important clinical characteristics of the pathology. A CT scan of the abdomen showed a conglomerate of bowel loops encased in a membrane. A Cocoon-like mass consisting of encapsulated bowel loops was the main finding of surgical exploration. Dissection and excision of the encapsulating membrane and release of encased loops provided definitive treatment of this rare entity.
ISSN:0001-5458
DOI:10.1080/00015458.2010.11680644