Clinical characteristics and experience for the diagnosis and surgical treatment of abdominal cocoon
10.3760/cma.j.cn11385520191115-00659
- VernacularTitle:腹茧症的临床特点与诊治经验
- Author:
Binbin LI
1
;
Xiaohua YANG
;
Yanghui WEN
;
Zuxiong TANG
;
Ding SUN
;
Lei QIN
;
Haixin QIAN
Author Information
1. 苏州大学附属第一医院普外科，江苏省 215006
- From:
Chinese Journal of General Surgery
2020;35(6):468-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics and treatment of the abdominal cocoon.Mehods:The clinical data of 28 patients with abdominal cocoon from Jan 2004 to Dec 2018 were analyzed retrospectively.Results:Intestinal obstruction was the main clinical manifestations (25 cases), recurrent chronic ileus(17 cases) and abdominal mass (7 cases). Preoperative imaging examination showed varying degrees of intestinal obstruction. CT or MRI scan displayed that small intestinal loops were disorganized , clustered and encased in a thickened capsule. All the cases underwent operations, showing that small bowel were encapsulated in a dense gray-white fibrous membrane. Adhesiolysis and fibrous membrane excision were done with segmental enterectomy when it was necessary. Early postoperative intestinal obstruction occured in 6 cases, all were cured by conservative treatment.Conclusions:The combination of clinical symptoms and CT or MRI may facilitate in preoperative diagnosis. Abdominal cocoon is putative diagnosis when recurrent intestinal obstruction with abdominal mass. Surgery is the therapy of choice.
