title: Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction.
abstract: Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction due to total or partial encapsulation of the small intestine by a fibrocollagenous membrane. Idiopathic ACS with abdominal cryptorchidism and greater omentum hypoplasia is even rarer clinically. We successfully treated a 26-year-old male case of small bowel obstruction with acute peritonitis. He was finally diagnosed with idiopathic ACS with unilateral abdominal cryptorchidism and greater omentum hypoplasia during exploratory laparotomy. He then underwent enterolysis, cryptorchidectomy, and appendectomy. He recovered gradually from the operations and early postoperative inflammatory ileus. There has been no recurrence of intestinal obstruction since the operation, and he is still in follow-up. We analyzed his clinical data and retrospectively reviewed the literature, and our findings may be helpful for the clinical diagnosis and treatment on ACS.
authors.affiliation: Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Fei
authors.affiliation: Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China.
authors.forename: Hai-Rui
authors.initials: HR
authors.lastname: Yang
authors.affiliation: Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China.
authors.forename: Peng-Fei
authors.initials: PF
authors.lastname: Yu
authors.affiliation: Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China.
authors.forename: Hai-Bo
authors.initials: HB
authors.lastname: Sheng
authors.affiliation: Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China.
authors.forename: Guo-Li
authors.initials: GL
authors.lastname: Gu
mesh_terms: D000328:Adult; D001062:Appendectomy; D001706:Biopsy; D003456:Cryptorchidism / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D009852:Omentum / Q000002:abnormalities*; D009919:Orchiectomy; D056627:Peritoneal Fibrosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D006820:Hyaluronic Acid
keywords: Abdominal cocoon syndrome; Abdominal cryptorchidism; Diagnosis; Intestinal obstruction; Treatment