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Abdominal cocoon: Report of a case

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Abstract

The abdominal cocoon is a rare cause of intestinal obstruction most often found in adolescent girls from tropical and subtropical countries. It is characterized by a thick fibrotic sac covering the small bowel partially or completely, the etiology of which is unknown. A correct diagnosis is not often made preoperatively; however, following simple surgical release of the entrapped bowel, these patients usually do well. We report herein our experience of a case of abdominal cocoon with a brief review of the medical literature on this unusual disease entity.

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References

  1. Francis WKY, Less SH (1992) The abdominal cocoon. Aust N Z J Surg 62:638–643

    Article  Google Scholar 

  2. Macklin J, Hall C, Feldman MA (1990) Unusual cause of small bowel obstruction in adolescent girls: the abdominal cocoon. J R Coll Surg Edinb 36:50–52

    Google Scholar 

  3. Wig JD, Goenka MK, Nagi B, Vaiphei K (1995) Abdominal cocoon in a male: rare cause of intestinal obstruction. Trop Gastroenterol 16:31–33

    PubMed  CAS  Google Scholar 

  4. Foo KT, Ng KC, Rauff A, Foong WC, Sinniah R (1978) Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg 65:427–430

    Article  PubMed  CAS  Google Scholar 

  5. Kumar A, Gautam A, Chaturvedi S, Gupta S (1996) Intestinal obstruction in an adolescent female. Postgrad Med J 72:307–308

    Article  PubMed  CAS  Google Scholar 

  6. Navani S, Shah P, Pandya S, Doctor N (1995) Abdominal cocoon: the cauliflower sign of barium small bowel series. Indian J Gastroenterol 14:19

    PubMed  CAS  Google Scholar 

  7. Sahoo SP, Gangopadhyay AN, Gupta DK, Gopal SC, Sharma SP, Dash RN (1996) Abdominal cocoon in children: a report of four cases. J Pediatr Surg 87:249–250

    Google Scholar 

  8. Zhang ZS (1989) Abdominal cocoon. Chung-Hua Wai Ko Tsa Chih (Chin J Surg) 27:399–400

    PubMed  CAS  Google Scholar 

  9. Seng LK, Mahadevan M, Musa A (1993) Abdominal cocoon: a report of two cases. Br J Surg 80:1149

    Article  PubMed  CAS  Google Scholar 

  10. Kobayashi TK, Ueda M, Nishino T, Nishida S, Yeneyama C, Watanabe S (1997) Appearance of “collagen balls” in ascitic fluid cytology with abdominal cocoon (encapsulating peritonitis). Diagn Cytopathol 16:469–470

    Article  PubMed  CAS  Google Scholar 

  11. Attar ZB, Nazir Z, Moazam F (1993) The abdominal cocoon: an unusual cause of intestinal obstruction in adolescent. Ann Trop Paediatr 13:99–102

    PubMed  CAS  Google Scholar 

  12. Sieck JO, Cowgill R, Larkworthy W (1983) Peritoneal encapsulation and abdominal cocoon. Case reports and a review of the literature. Gastroenterology 84:1597–1601

    PubMed  CAS  Google Scholar 

  13. Sayfan J, Adam YG, Reif R (1979) Peritoneal encapsulation in childhood: case report, embryologic analysis, and review of literature. Am J Surg 138:725–727

    Article  PubMed  CAS  Google Scholar 

  14. Deeb LS, Mourad FH, El-Zein YR, Uthman SM (1998) Abdominal cocoon in a man: preoperative diagnosis and literature review. J Clin Gastroenterol 26:148–150

    Article  PubMed  CAS  Google Scholar 

  15. Burstein M, Galun E, Ben-Chetrit E (1990) Idiopathic sclerosing peritonitis in a man. J Clin Gastroenterol 12:698–701

    Article  PubMed  CAS  Google Scholar 

  16. Marinho A, Adelusi B (1980) The abdominal cocoon; case report. Br J Obstet Gynaecol 87:249–250

    Article  PubMed  CAS  Google Scholar 

  17. Wig JD, Gupta SK (1998) Computed tomography in abdominal cocoon. J Clin Gastroenterol 27:259–260

    Article  PubMed  CAS  Google Scholar 

  18. Narayanan R, Kabra SG, Bhargava BN, Sangal BC (1989) Idiopathic sclerosing encapsulating peritonitis. Lancet 2:127–129

    Article  PubMed  CAS  Google Scholar 

  19. Brown P, Baddeley H, Read AE, Davis JD, McGarry J (1974) Sclerosing peritonitis, an unusual reaction to a beta-adrenergicblocking drug (practolol). Lancet 2:1477–1481

    Article  PubMed  CAS  Google Scholar 

  20. Tsunoda T, Mochinaga N, Eto T, Furui J, Tomioka T, Takahara H (1993) Sclerosing encapsulating peritonitis combined with peritoneal encapsulation. Arch Surg 128:353–355

    PubMed  CAS  Google Scholar 

  21. Krestin GP, Kacl G, Hauser M, Keusch G, Burger HR, Hoffman R (1995) Imaging diagnosis of sclerosing peritonitis and relation of radiologic signs to the extent of the disease. Abdom Imaging 20:414–420

    Article  PubMed  CAS  Google Scholar 

  22. Holland P (1990) Sclerosing encapsulating peritonitis in chronic ambulatory peritoneal dialysis. Clin Radiol 41:19–23

    Article  PubMed  CAS  Google Scholar 

  23. Cambria RP, Shamberger RC (1984) Small bowel obstruction caused by the abdominal cocoon syndrome: possible association with LeVeen shunt. Surgery 95:501–503

    PubMed  CAS  Google Scholar 

  24. Laferla G, McColl KEL, Grean GP (1986) CSF induced sclerosing peritonitis? A new entity. Nr J Surg 73:7

    CAS  Google Scholar 

  25. Ngo Y, Messing B, Marteau P, Nouel O, Pasquiou A, Lavergne A (1992) Peritoneal sarcoidosis: an unrecognized cause of sclerosing peritonitis. Dig Dis Sci 37:1176–1180

    Article  Google Scholar 

  26. Kaklamanis P, Vayopolos G (1991) Chronic lupus peritonitis with ascites. Ann Rheum Dis 50:176–177

    Article  PubMed  CAS  Google Scholar 

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Kumar, M., Deb, M. & Parshad, R. Abdominal cocoon: Report of a case. Surg Today 30, 950–953 (2000). https://doi.org/10.1007/s005950070053

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  • DOI: https://doi.org/10.1007/s005950070053

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