The Abdominal Cocoon Case Report

Marinho, Anthony O; Adelusi, B

doi:10.1111/j.1471-0528.1980.tb04529.x

Cited by 24 publications

(10 citation statements)

References 5 publications

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“…1,3,7,9,15 Clinically, these patients usually present with features of acute or subacute small bowel obstruction, symptoms of chronic obstruction and weight loss, and/or pain associated with an abdominal lump. 4,12,16 Our patient presented with features of subacute intestinal obstruction and an abdominal lump. Most cases are diagnosed when a laparotomy is performed for obstructive symptoms.…”

Section: Discussionmentioning

confidence: 96%

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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Section: Discussionmentioning

confidence: 96%

Abdominal cocoon: Report of a case

2000

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“…6 Sclerosing peritonitis is seen in patients undergoing peritoneal dialysis. 10 Chlorhexidine was thought to be responsible for its development in some cases, while infection, acetate buffer, antiseptic agents, and β-adrenergic blocking were reported to be causes in other cases. 3,6,[11][12][13][14][15][16] We herein describe a patient with a small bowel obstruction due to an abdominal cocoon.…”

Section: Discussionmentioning

confidence: 98%

Abdominal Cocoon in an Aged Man: Report of a Case

et al. 2007

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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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“…Furthermore, three more cases were reported later [2][3][4], in which two of them [2,3] occurred in premenarchal females (Table 1), which were not in the favor of his postulation.…”

Section: Discussionmentioning

confidence: 99%

“…A search of the literature has revealed thirteen cases [1][2][3][4], and an additional case was reported as peritoneal encapsulation [5], which is more likely to have been an abdominal cocoon. This results in a total of fifteen cases, including our own, are discussed in this study.…”

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confidence: 99%

Abdominal Cocoon in a Pregnant Woman: A Case Report and Review of the Literature

1991

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Encasement of a variable length of small intestine by a fibrous membrane, usually presenting as intestinal obstruction, and/or, an abdominal mass, was first described as an abdominal cocoon in 1978 [1]. A search of the literature has revealed thirteen cases [1][2][3][4], and an additional case was reported as peritoneal encapsulation [5], which is more likely to have been an abdominal cocoon. This results in a total of fifteen cases, including our own, are discussed in this study. Case ReportA 26-year-old female, who was 25 weeks pregnant, was admitted to this hospital complaining of colicky abdominal pain in the right iliac fossa of two days duration, accompanied by nausea without vomiting.She gave a history of recurrent attacks of similar, but less severe, pain during the five years prior to this attack. Her menstruations were reported as very painful, but regular. There was no other relevant medical or drug history. On examination her pulse was 88 per minute, her temperature was 37.1°C, and abdominal examination revealed tenderness in the right iliac fossa. The size of the uterus corresponded with the date of her last menstrual period 25 weeks ago. Fetal heart sounds were regular, and 135 beats per minute. No abnormality was detected on routine urine testing. The WBC was 14000 cells per cubic millimeter. The pain became more severe in the following two hours; her pulse rate rose to 94 beats per minute; her temperature rose to 37.5°C; she vomited; and her WBC rose to 16000 cells per cubic millimeter. It was felt that an appendectomy should be performed.However, through a right McBurney incision, the appendix looked normal. The right fallopian tube, ovary and the uterus also showed no sign of gross pathology. When the terminal ileum was brought out of the wound, a membrane was found to be encasing the distal 30-40 cm of it, sparing only the ileocecal junction area with two openings in the membrane for the afferent and efferent small intestine, which was distended proximally. The pelvic surface of the sac, which was thicker than other surfaces, was studded with minute brownish spots. The membrane was dissected off the intestine, and its mesentery, with slight difficulty. Then the appendectomy was performed.Postoperative progress was uneventful. Three months later the patient had a normal delivery, giving birth to a healthy female infant. She reported that her periods were not as painful as before, and her last surgical and obstetric exam, six months later, revealed no abnormalities. PathologyThe appendix was normal. Sections taken from the tissue submitted for histopathology showed fibrovascular tissue admixed with mature adipose tissue. No inflammatory cells were present. However, selective sections taken from the scattered minute brown focci revealed glandular structures lined by a single layer of low columnar epithelium and surrounded by large cells with distinct borders and granular pink cytoplasm (decidua-like cells). There were few foci of hemosiderin laden macrophages (Figures 1, 2). No trophoblastic tiss...

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The Abdominal Cocoon Case Report

Cited by 24 publications

References 5 publications

Abdominal cocoon: Report of a case

Abdominal cocoon: Report of a case

Abdominal Cocoon in an Aged Man: Report of a Case

Abdominal Cocoon in a Pregnant Woman: A Case Report and Review of the Literature

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