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. 2008 Jan;4(1):15-7.
doi: 10.4103/0972-9941.40992.

Laparoscopic management of abdominal cocoon

Ramesh Makam  1 , Tulip Chamany, Saraswathi Ramesh, Vamsi Krishna Potluri, Prasanth J Varadaraju, Pradeep Kasabe
Affiliations

Laparoscopic management of abdominal cocoon

Ramesh Makam et al. J Minim Access Surg. 2008 Jan.

Abstract

"Peritonitis fibrosa incapsulata", first described in 1907, is a condition characterized by encasement of the bowel with a thick fibrous membrane. This condition was renamed as "abdominal cocoon" in 1978. It presents as small bowel obstruction clinically. 35 cases of abdominal cocoon have been reported in the literature over the last three decades. Abdominal cocoon is more common in adolescent girls from tropical countries. Various etiologies have been described, including tubercular. It is treated surgically by releasing the entrapped bowel. We report a laparoscopic experience of tubercular abdominal cocoon and review the literature.

Keywords: Abdominal cocoon; intestinal obstruction; laparoscopy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Plain X-ray abdomen showing dilated small bowel loops
Figure 2
Figure 2
Intraoperative photograph showing excision of the thick fibrous membrane of the cocoon
See this image and copyright information in PMC

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