title: Abdominal cocoon in an aged man: report of a case.
abstract: An abdominal cocoon is an extremely rare condition, which has been mainly reported in young adolescent women as a cause of small bowel obstruction. In these patients the small bowel is encased in a fibrous sac called an abdominal cocoon. We herein describe a 74-year-old man who demonstrated an abdominal cocoon without having any history associated with an abdominal cocoon. A laparotomy showed bloody ascites and the entire small bowel was encased in a thin white fibrous membrane like a cocoon. The small intestine entered into a defect of the membrane, thus presenting as an internal hernia with intestinal necrosis. The necrotic intestine and the membrane were removed. A histopathological examination of the membrane showed a few signs of inflammation cells.
authors.affiliation: Department of Surgery, Rokuwa Hospital, 104 Shiokawa, Heiwa, Inazawa 490-1323, Japan.
authors.forename: Norihiro
authors.initials: N
authors.lastname: Okamoto
authors.forename: Koutarou
authors.initials: K
authors.lastname: Maeda
authors.forename: Masato
authors.initials: M
authors.lastname: Fujisaki
authors.forename: Harunobu
authors.initials: H
authors.lastname: Sato
mesh_terms: D000368:Aged; D005355:Fibrosis; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D007421:Intestine, Small; D008297:Male; D010538:Peritonitis / Q000209:etiology / Q000473:pathology* / Q000601:surgery