Abdominal cocoon in a young man
10.5847/wjem.j.issn.1920-8642.2014.03.014
- Author:
Jayant MAYANK
1
;
Kaushik ROBIN
Author Information
1. Department of Surgery
- Keywords:
Intestinal obstruction;
Cocoon;
Idiopathic;
Tuberculosis;
Emergency surgery;
Laparotomy
- From:
World Journal of Emergency Medicine
2014;5(3):234-236
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Intestinal obstruction remains a common problem encountered in the surgical emergency, and usually occurs secondary to adhesions, obstructed herniae or tubercular strictures. However, at times, rare causes of obstruction can also be encountered. METHODS: A 24-year-old male patient presented with recurrent episodes of intestinal obstruction that was found to be secondary to an abdominal cocoon on laparotomy. RESULTS: The patient underwent adhesiolysis of the cocoon, and remains well on a follow-up. Histopathological report of the cocoon wall revealed fibrocollagenic tissues with a mixed inflammatory infiltrate, without any evidence of tuberculosis. CONCLUSIONS: Abdominal cocoon can be a rare cause of intestinal obstruction in male patients. Adhesiolysis of the cocoon membrane releases the obstruction and gives good results.
