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Case Reports
. 2008 Jul-Aug;28(4):294-6.
doi: 10.5144/0256-4947.2008.294.

Abdominal cocoon complicated with early postoperative small bowel obstruction

Yong-Bin Zheng  1 , Peng-Fei Zhang, Shujin Ma, Shi-Lun Tong
Affiliations
Case Reports

Abdominal cocoon complicated with early postoperative small bowel obstruction

Yong-Bin Zheng et al. Ann Saudi Med. 2008 Jul-Aug.
No abstract available

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Figures

Figure 1
Figure 1
Abdominal CT scan showing that the small intestine was restricted to the central part of the abdomen because of the presence of a fibrous sheath.
Figure 2
Figure 2
A fibrotic, cocoon-like membrane covering enteric loops (intraoperative photograph).
Figure 3
Figure 3
The small gut within this membrane coiled up in a concertina-like fashion and with flimsy interlooping adhesions (intraoperative photograph).
Figure 4
Figure 4
The separated loops of small bowel were normal (intraoperative photograph).
Figure 5
Figure 5
Histological findings of the thickened membrane showing proliferation of fibroconnective tissue and inflammatory infiltrates.
See this image and copyright information in PMC

References

    1. Foo KT, Ng KC, Rauff A, et al. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg. 1978;65:427–430. - PubMed
    1. Serafimidis C, Katsarolis I, Vernadakis S, et al. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon) BMC Surg. 2006;6:3. - PMC - PubMed
    1. Kumar M, Deb M, Parshad R. Abdominal Cocoon: Report of a Case. Surg Today. 2000;30:950–953. - PubMed
    1. Ellozy SH, Harris MT, Bauer JJ, et al. Early postoperative small-bowel obstruction: a prospective evaluation in 242 consecutive abdominal operations. Dis Colon Rectum. 2002;45:1214–1217. - PubMed
    1. Qi L, Hong ZJ, Yang L. Clinical analysis of early postoperative inflammatory small bowel obstruction. Chin J Dig Surg. 2007;6:104–106.

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