Abdominal cocoon - A rare cause of intestinal obstruction

Citations of this article
Mendeley users who have this article in their library.


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. © 2013 The Authors.




Sharma, D., Nair, R. P., Dani, T., & Shetty, P. (2013). Abdominal cocoon - A rare cause of intestinal obstruction. International Journal of Surgery Case Reports, 4(11), 955–957. https://doi.org/10.1016/j.ijscr.2013.08.004

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free