Intestinal obstruction in an adolescent female

Kumar, Arun; Gautam, Anju; Chaturvedi, S.; Gupta, Somya

doi:10.1136/pgmj.72.847.307

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Laboratory and radiological studies are non-specific, although plain radiographs of the abdomen may suggest features of intestinal obstruction [ 6 ]. Most cases are diagnosed when a laparotomy is performed for obstructive symptoms [ 7 - 9 ].…”

Section: Discussionmentioning

confidence: 99%

An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature

et al. 2006

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Abdominal cocoon is a rare cause of intestinal obstruction. The abdominal cocoon is probably a developmental abnormality, largely asymptomatic, and is found incidentally at laparotomy or autopsy. Pre-operative diagnosis cannot be often made correctly. This rare entity of intestinal obstruction has been described in the whole literature as a thick fibrotic sac covering the small bowel partially or completely. The etiology of abdominal cocoon is unknown and most often it is found in adolescent girls from tropical or subtropical countries. Complete recovery is generally expected after the removal of the membrane surgically. This paper reports a male patient who has had intestinal obstruction symptoms and has per-operatively been diagnosed as abdominal cocoon.

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Section: Discussionmentioning

confidence: 99%

An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature

et al. 2006

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“…A neurofibromatous component in the histological section has also been reported. 5 According to one case report, ascitic fluid cytology revealed fragments of collagenous connective tissue. 10 The etiology of this condition is still not well understood, although a number of hypotheses have been proposed to explain the formation of the membrane.…”

Section: Discussionmentioning

confidence: 98%

Abdominal cocoon: Report of a case

2000

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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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“…Affected individuals are usually from tropical and subtropical regions. 5 The condition usually affects adolescent girls 1,[6][7][8] ranging in age from 6 to 18 years, 5 but there have been more reports that describe the condition in older patients as well. [9][10][11] In a Chinese review of 203 cases with AC, 11 the mean age at diagnosis was 33 years, and the male to female ratio was approximately 1.2:1.…”

Section: Discussionmentioning

confidence: 99%

The Abdominal Cocoon: A Rare Cause of Intestinal Obstruction in Two Patients

Cai

Wang

Xuan

et al. 2007

The American Surgeon™

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The abdominal cocoon is a rare disease that is characterized by total or partial encasement of the small bowel by a thick and fibrotic membrane. After an increased number of case reports, the characteristic age group and sex distribution of abdominal cocoon have changed. Although the etiology is unknown, congenital malformation is implicated as the causative factor in the two patients in this report. Although preoperative diagnosis is a matter of challenge and usually made at laparotomy, our experience suggests that computed tomographic evidence of clustered small bowel loops encased by a thin membrane-like sac is a characteristic preoperative finding in patients with abdominal cocoon. Surgical removal of the membrane and adhesions is the most appropriate choice of therapy.

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Intestinal obstruction in an adolescent female

Cited by 6 publications

References 3 publications

An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature

An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature

Abdominal cocoon: Report of a case

The Abdominal Cocoon: A Rare Cause of Intestinal Obstruction in Two Patients

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