World Journal of Surgery

, Volume 41, Issue 5, pp 1287–1294 | Cite as

Diagnosis and Treatment of 26 Cases of Abdominal Cocoon

  • Sheng Li
  • Jun-Jiang Wang
  • Wei-xian Hu
  • Mou-Cheng Zhang
  • Xian-Yan Liu
  • Yong Li
  • Guan-Fu Cai
  • Sen-Lin Liu
  • Xue-Qing YaoEmail author
Original Scientific Report


Background and aims

Abdominal cocoon (AC) is a rare abdominal disease with nonspecific clinical features, and it is difficult to be diagnosed before operation and hard to be treated in clinical practice. The aim of this study is to investigate the diagnosis and treatment of AC.


The clinical manifestations, findings during surgery, treatments, and follow-up results of 26 cases of AC were retrospectively studied from January 2001 to January 2015.


All of 26 cases were diagnosed as AC definitely by laparotomy or laparoscopic surgery. Their clinical findings were various, with 7 intestines obstructed with bezoars and 4 intestines perforated by spiny material. Based on the existence of the second enterocoelia, all cases were categorized into 2 types: type I is absent of second enterocoelia (18 cases, 69.23%), while type II shows second enterocoelia (8 cases, 30.77%). Twenty cases (12 were type I and 8 were type II) underwent membrane excision and careful enterodialysis to release the small intestine entirely or partially, while the other 6 cases (all were type I) did not. In addition, all patients were treated with medical treatment and healthy diet and lifestyle. Finally, most of the patients recovered smoothly.


AC can be categorized into two types; surgery is recommended for type II and part of type I with severe complications, but sometimes conservative therapy might be appropriate for type I. Laparoscopic surgery plays an important role in the diagnosis and treatment of AC. Furthermore, favorite health education, healthy diet and lifestyle are of significance in patients’ recovery.


Appendicitis Healthy Diet Cryptorchidism Fibrous Membrane Intestinal Adhesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • Sheng Li
    • 1
    • 2
    • 3
  • Jun-Jiang Wang
    • 1
    • 3
  • Wei-xian Hu
    • 1
    • 3
  • Mou-Cheng Zhang
    • 1
    • 3
    • 4
  • Xian-Yan Liu
    • 2
  • Yong Li
    • 3
  • Guan-Fu Cai
    • 3
  • Sen-Lin Liu
    • 2
  • Xue-Qing Yao
    • 1
    • 3
    Email author
  1. 1.Southern Medical UniversityGuangzhouChina
  2. 2.Department of Gastrointestinal SurgeryCentral Hospital of ShaoyangShaoyangChina
  3. 3.Department of General SurgeryGuangdong General Hospital and Guangdong Academy of Medical SciencesGuangzhouChina
  4. 4.Department of Gastrointestinal SurgeryFirst Hospital of NingboNingboChina

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