Abdominal Cocoon: A Rare and Difficult Togetherness in Trauma Patient

Abstract

ÖzetSklerozan enkapsüle peritonit olarak bilinen abdominal koza, ince barsakların fibrokollejenöz bir membran ile tamamen yada kısmen sarıldığı nadir bir mekanik intestinal obstrüksiyon nedenidir. Genç adolesan kadınlarda görülmekte ve olguların büyük bir kısmında etyoloji bilinmemektedir. Cerrahi acil vakalarda bu nadir olgunun akılda tutulması tedavide gecikmeleri önleyebilir ve hasta için gereksiz girişimleri engelleyebilir. Travma nedeni ile opere ettiğimiz ve teşhis ve tedavide zorlanmaya neden olan abdominal koza olgusunu sunuyoruz. Anahtar KelimelerPeritonit; Multipl Travma; Genel Cerrahi Abstract Abdominal cocoon, as known sclerosing encapsulating peritonitis, is a rare condition of mechanical intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane. It has been reported mainly in young adolescent women and the majority of the cases are of unknown etiology. Awareness of this rare cause of surgical emergency may prevent delay in treatment and avoid unnecessary procedures for the patient. We are presenting an operated abdominal cocoon case which can be cause difficulty in diagnose and treatment.

Two Different Clinical Approaches with Mortality Assessment of Four Cases: Complete and Incomplete Type of Abdominal Cocoon Syndrome

“…In physical examination of ACS patient, an asymmetric distension which does not move with peristalsis due to fibrous capsule surrounding small bowels is observed in the inspection of abdominal area. Besides in palpation of abdominal wall, enlarged bowel in the proximal of the adhered section is palpated soft while the obstructed zone is palpated as a rigid, flat, and painless area due to fibrous tissue [14,15]. None of our patients had clinical or radiological findings indicative of ACS in preoperative period.…”