Abdominal cocoon - A rare cause of intestinal obstruction

Digvijoy Sharma, Rajesh Parameshwaran Nair, Tushar Dani, Prashanth Shetty

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

INTRODUCTION Abdominal cocoon syndrome is characterized by small bowel encapsulation by a fibro-collagenous membrane or "cocoon". It is a rare cause of intestinal obstruction. PRESENTATION OF CASE A 42-year old man presented with sub-acute intestinal obstruction. Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesions. Postoperative recovery was unremarkable. DISCUSSION Most patients with abdominal cocoon syndrome present with features of recurrent acute or chronic small bowel obstruction secondary to kinking and/or compression of the intestines within the constricting cocoon. An abdominal mass may also be present due to an encapsulated cluster of dilated small bowel loops. CONCLUSION Abdominal cocoon is a rare condition causing intestinal obstruction and diagnosis requires a high index of suspicion because of the nonspecific clinical picture. CECT of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Peritoneal sac excision and adhesiolysis is the treatment and the outcome is usually satisfactory.

Original languageEnglish
Pages (from-to)955-957
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume4
Issue number11
DOIs
Publication statusPublished - 02-10-2013

Fingerprint

Intestinal Obstruction
Abdomen
Intestines
Membranes

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Sharma, Digvijoy ; Nair, Rajesh Parameshwaran ; Dani, Tushar ; Shetty, Prashanth. / Abdominal cocoon - A rare cause of intestinal obstruction. In: International Journal of Surgery Case Reports. 2013 ; Vol. 4, No. 11. pp. 955-957.
@article{221623e1f9404ae0bea0abfd3edace3a,
title = "Abdominal cocoon - A rare cause of intestinal obstruction",
abstract = "INTRODUCTION Abdominal cocoon syndrome is characterized by small bowel encapsulation by a fibro-collagenous membrane or {"}cocoon{"}. It is a rare cause of intestinal obstruction. PRESENTATION OF CASE A 42-year old man presented with sub-acute intestinal obstruction. Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesions. Postoperative recovery was unremarkable. DISCUSSION Most patients with abdominal cocoon syndrome present with features of recurrent acute or chronic small bowel obstruction secondary to kinking and/or compression of the intestines within the constricting cocoon. An abdominal mass may also be present due to an encapsulated cluster of dilated small bowel loops. CONCLUSION Abdominal cocoon is a rare condition causing intestinal obstruction and diagnosis requires a high index of suspicion because of the nonspecific clinical picture. CECT of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Peritoneal sac excision and adhesiolysis is the treatment and the outcome is usually satisfactory.",
author = "Digvijoy Sharma and Nair, {Rajesh Parameshwaran} and Tushar Dani and Prashanth Shetty",
year = "2013",
month = "10",
day = "2",
doi = "10.1016/j.ijscr.2013.08.004",
language = "English",
volume = "4",
pages = "955--957",
journal = "International Journal of Surgery Case Reports",
issn = "2210-2612",
publisher = "Elsevier BV",
number = "11",

}

Abdominal cocoon - A rare cause of intestinal obstruction. / Sharma, Digvijoy; Nair, Rajesh Parameshwaran; Dani, Tushar; Shetty, Prashanth.

In: International Journal of Surgery Case Reports, Vol. 4, No. 11, 02.10.2013, p. 955-957.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Abdominal cocoon - A rare cause of intestinal obstruction

AU - Sharma, Digvijoy

AU - Nair, Rajesh Parameshwaran

AU - Dani, Tushar

AU - Shetty, Prashanth

PY - 2013/10/2

Y1 - 2013/10/2

N2 - INTRODUCTION Abdominal cocoon syndrome is characterized by small bowel encapsulation by a fibro-collagenous membrane or "cocoon". It is a rare cause of intestinal obstruction. PRESENTATION OF CASE A 42-year old man presented with sub-acute intestinal obstruction. Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesions. Postoperative recovery was unremarkable. DISCUSSION Most patients with abdominal cocoon syndrome present with features of recurrent acute or chronic small bowel obstruction secondary to kinking and/or compression of the intestines within the constricting cocoon. An abdominal mass may also be present due to an encapsulated cluster of dilated small bowel loops. CONCLUSION Abdominal cocoon is a rare condition causing intestinal obstruction and diagnosis requires a high index of suspicion because of the nonspecific clinical picture. CECT of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Peritoneal sac excision and adhesiolysis is the treatment and the outcome is usually satisfactory.

AB - INTRODUCTION Abdominal cocoon syndrome is characterized by small bowel encapsulation by a fibro-collagenous membrane or "cocoon". It is a rare cause of intestinal obstruction. PRESENTATION OF CASE A 42-year old man presented with sub-acute intestinal obstruction. Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesions. Postoperative recovery was unremarkable. DISCUSSION Most patients with abdominal cocoon syndrome present with features of recurrent acute or chronic small bowel obstruction secondary to kinking and/or compression of the intestines within the constricting cocoon. An abdominal mass may also be present due to an encapsulated cluster of dilated small bowel loops. CONCLUSION Abdominal cocoon is a rare condition causing intestinal obstruction and diagnosis requires a high index of suspicion because of the nonspecific clinical picture. CECT of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Peritoneal sac excision and adhesiolysis is the treatment and the outcome is usually satisfactory.

UR - http://www.scopus.com/inward/record.url?scp=84884683853&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884683853&partnerID=8YFLogxK

U2 - 10.1016/j.ijscr.2013.08.004

DO - 10.1016/j.ijscr.2013.08.004

M3 - Article

AN - SCOPUS:84884683853

VL - 4

SP - 955

EP - 957

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

SN - 2210-2612

IS - 11

ER -