The diagnosis and treatment of primary abdominal cocoon
10.3760/cma.j.issn.1007-631X.2019.01.010
- VernacularTitle:原发性腹茧症的诊断与治疗
- Author:
Xiaojiao RUAN
1
;
Feng ZHOU
;
Chen WANG
;
Hanzhang HUANG
;
Shaoliang HAN
Author Information
1. 温州医科大学附属第一医院胃肠外科
- Keywords:
Peritoneal fibrosis;
Intestinal obstruction;
Surgical procedures,operetive
- From:
Chinese Journal of General Surgery
2019;34(1):39-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics,diagnosis and treatment of primary abdominal cocoon.Methods The clinical data of 16 cases of primary abdominal cocoon were reviewed and analyzed.Results Only in 2 cases in which correct preoperative diagnosis was estabished by CT scan.The other 14 cases were diagnosed during operation.Parts or all small intestines were covered with a layer of milky white dense fibrous thin membrane,formed mass-likely adhesion,and fibrous film attached to the mesenteric roots.Extensive adhesion existed in between intestines.The operation included lysis of peritoneal adhesion plus fibrous membrane excision in 14 cases,lysis of peritoneal adhesion plus fibrous membrane excision and segmental enterectomy in 2 cases,and in 2 cases appendectomy was done.There was no anastomotic leakage or other major complications except for wound infection in 1 case.All the patients were followed up from 3 months to 7 years with a median follow-up time of 3.6 years,and no recurrent cases were found.Conclusions Surgery is the main method for the treatment of abdominal cocoon with evident clinical symptoms,and the prognosis is largely fair.
