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.
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Okamoto, N., Maeda, K., Fujisaki, M. et al. Abdominal Cocoon in an Aged Man: Report of a Case. Surg Today 37, 258–260 (2007). https://doi.org/10.1007/s00595-006-3343-1
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DOI: https://doi.org/10.1007/s00595-006-3343-1