Abdominal Cocoon in an Adolescent Male

Shakya, VC; Agrawal, Chandra Shekhar; Rajbanshi, Saroj; Pradhan, Anju; Khaniya, Sudeep; Adhikary, Shailesh

doi:10.3126/kumj.v10i4.11009

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…[ 38 ] Small intestines barium transit reveals collected and conglomerated bowel loops in the center of the abdomen, suggestive of the so called “cauliflower sign.” [ 32 ] Additionally, prolonged transit time encourages the diagnosis. [ 33 ] Abdominal ultrasonography may reveal dilated bowel segments surrounded in a dense fibrous membrane, as well as free abdominal fluid and a thicker peritoneal layer. [ 38 , 39 ] On CT, which is the most useful tool in confirming the diagnosis, the appearance of small intestine segments that are conglomerated at the midline and surrounded by a thick capsule with a contrast-free periphery is a distinctive sign.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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Background: Abdominal cocoon or sclerosing encapsulating peritonitis is an uncommon condition in which the small bowel is completely or partially encased by a thick fibrotic membrane. Our study presents a case of sclerosing encapsulating peritonitis and conducts a literature review.Methods: A bibliographic research was conducted. Our research comprised 97 articles. Gender, age, symptoms, diagnostic procedures, and treatment were all included in the database of patient characteristics.Case presentation: A 51-year-old man complaining of a 2-day history of minor diffuse abdominal pain, loss of appetite, and constipation was presented in emergency department. Physical examination was indicative of intestinal obstruction. Laboratory tests were normal. Diffuse intraperitoneal fluid and dilated small intestinal loops were discovered on computed tomography (CT). An exploratory laparotomy was recommended, in which the sac membrane was removed and adhesiolysis was performed. He was discharged on the tenth postoperative day.Results: There were 240 cases of abdominal cocoon syndrome in total. In terms of gender, 151 of 240 (62.9%) were male and 89 of 240 (37%) were female. Ages between 20 and 40 are most affected. Symptoms include abdominal pain and obstruction signs. For the diagnosis of abdominal cocoon syndrome, CT may be the gold standard imaging method. The surgical operation was the treatment of choice in the vast majority of cases (96.7%). Only 69 of 239 patients (28.9%) were detected prior to surgery, and CT was applied in these cases. Conclusion:Abdominal cocoon is a rare condition marked by recurrent episodes of intestinal obstruction. Surgical therapy is the most effective treatment option.

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Section: Discussionmentioning

confidence: 99%

“…As a result, 97 articles were included in our study. [3–41] The flow diagram of the study is shown in Figure 4. These articles were carefully studied, and a database with the patients’ characteristics was made, which could be available if requested.…”

Section: Methodsmentioning

confidence: 99%

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Chorti¹,

Panidis²,

Konstantinidis³

et al. 2022

Medicine

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“…Although the triggering factors are yet to be determined apart from few theories that have been there since this syndrome has been first described but yet to be proven or supported hence the name primary. The most wildly mentioned theories being retrograde menstruation with a superimposed viral infection, retrograde peritonitis via the fallopian tubes, and cell-mediated immunological tissue damage secondary to gynecological infection [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] .…”

Section: Discussionmentioning

confidence: 99%

An incidental intra-operative finding of sclerosing encapsulating peritonitis, “abdominal cocoon” in an emergency presentation of small bowel obstruction, a case report

Aloraini¹,

Aljomah²,

AlMogbel³

et al. 2023

International Journal of Surgery Case Reports

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“…However, case reports from temperate zones have been reported in all age groups regardless of gender. 15,16 The aetiology of the abdominal cocoon is poorly understood. Various theories have been proffered, including retrograde menstruation with a superimposed viral infection, retrograde peritonitis, and cell-mediated immunological tissue damage incited by gynaecological infection.…”

Section: Discussionmentioning

confidence: 99%

Unravelling a case of rare peritoneal encapsulation following blunt abdominal trauma: a case report

Muthulingam

Padmanabhan

2019

Int Surg J

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Peritoneal encapsulation (PE) is a rare condition that has been described interchangeably with sclerosing encapsulated peritonitis as well as abdominal cocoon. Here we report a case of perforative peritonitis following blunt injury abdomen in a 30-year-old male patient. Computed tomography (CT) of the abdomen showed pneumoperitoneum possibly gastrointestinal tract perforation. Exploratory laparotomy was performed and the entire small bowel was encapsulated in a peritoneal sac. Peritoneal sac was excised. Perforation was noted in the proximal jejunum and primary closure done. Post-operative recovery was uneventful. PE is an extremely rare congenital condition in which there is abnormal return of the midgut loop to the abdominal cavity in the early stages of development. The small intestine is thus covered by the original dorsal mesentery, forming the characteristic accessory peritoneal sac. Management of cases is difﬁcult as CT ﬁndings may not be characteristic and may only be diagnosed at laparotomy. A discussion of the case and review of the literature are presented.

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Abdominal Cocoon in an Adolescent Male

Cited by 5 publications

References 16 publications

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

Abdominal cocoon syndrome: Rare cause of intestinal obstruction—Case report and systematic review of literature

An incidental intra-operative finding of sclerosing encapsulating peritonitis, “abdominal cocoon” in an emergency presentation of small bowel obstruction, a case report

Unravelling a case of rare peritoneal encapsulation following blunt abdominal trauma: a case report

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