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Review
. 2013 Oct;3(4):103-5.
doi: 10.4103/2231-0770.120502.

Abdominal cocoon

Binit Sureka  1 , Mahesh Kumar Mittal, Mukul Sinha, Aliza Mittal, Brij Bhushan Thukral
Affiliations
Review

Abdominal cocoon

Binit Sureka et al. Avicenna J Med. 2013 Oct.

Abstract

Abdominal cocoon is an acquired benign condition in which there is encapsulation of bowel loops by a fibrous membrane. Pre-operative clinical diagnosis is usually difficult. Imaging plays a critical role in timely and accurate diagnosis. We present a brief discussion on this topic with relevant imaging findings.

Keywords: Abdominal; cocoon; encapsulation; peritonitis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Abdominal cocoon in a 37-year-old male on dialysis. (a) Barium meal follow through spot image showing clustered fixed small bowel loops (arrows). (b) Coronal reformatted computed tomography image showing encapsulating membrane (arrows) with ascites and clustering of small bowel loops
Figure 2
Figure 2
Abdominal cocoon formation in 30-year-old male with previous abdominal surgery. (a) Axial contrast-enhanced computed tomography scan showing clustering of bowel loops with fibrotic enhancing membrane (arrows). (b) Coronal reformatted image showing the encapsulation of ileal loops in a membrane (white arrow) with fluid collection within the sac and dilatation of proximal jejunum (black arrow)
Figure 3
Figure 3
Abdominal cocoon due to tuberculosis in 35-year-old female - axial contrast-enhanced computed tomography showing enhancing fibrotic membrane (white arrows) with ascites and focal dilatation of jejunal loop and necrotic mesenteric lymph nodes (black arrow)
Figure 4
Figure 4
Idiopathic abdominal cocoon in a 24-year-old girl - axial contrast-enhanced computed tomography scan showing membrane (arrows) encapsulating the jejunal loops
Figure 5
Figure 5
Abdominal cocoon in 40-year-old male due to previous abdominal surgery (a, b) axial contrast-enhanced computed tomography showing enhancing membrane (arrows) and focal dilatation of jejunal loop
See this image and copyright information in PMC

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