Abdominal cocoon. An unusual cause of intestinal obstruction.
We report a case of abdominal cocoon in a young male patient, presenting with acute intestinal obstruction and abdominal mass. This is a rare acquired condition of the peritoneum in which the small bowel is encased either partially or totally by a dense fibrous membrane. Operative findings, perioperative imaging and treatment guidelines are discussed. A better awareness of this condition may facilitate preoperative diagnosis; prevent inadvertent bowel damage at laparoscopy and unnecessary bowel resection at laparotomy.
Al-Abassi
Abdulla A
AA
Department of General Surgery, Saqr Hospital, Ras Alkhaimah, United Arab Emirates. alabassi@hotmail.com
Emad
Mohammed
M
D000328:Adult; D005355:Fibrosis / Q000473:pathology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male; D010538:Peritonitis / Q000473:pathology* / Q000601:surgery; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler