Laparoscopic diagnosis and management of an abdominal cocoon: a case report and literature review.
Abdominal cocoon is a rare cause of small bowel obstruction. It is characterized by the encasement of a variable length of the small intestine by a fibrous membrane. It occurs primarily in females with only few reported cases in males. We report the case of a 42-year-old male with a history suggestive of recurrent attacks of small bowel obstruction over a 6-month period, which used to resolve spontaneously or by conservative measures. At presentation, a mildly tender mobile mass was felt in the right lower part of the abdomen. Computed tomography scan of the abdomen showed clusters of small bowel loops encased within a well-delineated sac. The diagnosis was confirmed by diagnostic laparoscopy. Laparoscopic lyses and release of the entrapped bowel was performed. The postoperative period was uneventful. Follow-up over 18 months showed no clinical evidence of recurrence.
Department of General Surgery-Medical College, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan. ghaziq@just.edu.jo
Ghazi Raji
GR
Qasaimeh
Zouhair
Z
Amarin
Bilal N
BN
Rawshdeh
Khaled M
KM
El-Radaideh
D000328:Adult; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D007421:Intestine, Small; D010535:Laparoscopy; D008297:Male