The diagnosis and treatment of abdominal cocoon in 8 cases

VernacularTitle:腹茧症8例诊治分析
Author: Yezhe LUO ¹ ; Peilin ZHENG ; Qinggui CHEN ; Suqiong LIN ; Jinbo FU ; Guoyang WU
Author Information

1. 厦门大学附属中山医院普通外科，厦门　361004
Keywords: Abdominal cocoon; Diagnosis; Laparoscopes
From: Chinese Journal of General Surgery 2023;38(1):33-37
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the diagnosis and treatment of abdominal cocoon.Methods:The clinical data of 8 patients with abdominal cocoon in our hospital from Jan 2015 to Dec 2021 were retrospectively reviewed including clinical and imaging manifestations, treatment and follow-up.Results:One case was asymptomatic, and the other 7 cases suffered from recurrent abdominal pain with complete or incomplete intestinal obstruction. The median course of disease was 6 months (15 days to 40 years). Six cases underwent laparcoscopic cocoon membrane resection and intestinal adhesion lysis, of which 2 cases underwent laparotomy, one case was converted to open surgery, 4 cases underwent concomitant appendectomy. Follow-up ranged from 3 to 69 months, there were 2 cases complicating early inflammatory intestinal obstruction, 1 case suffred wound fat liquefaction and infection, 1 case with a colic 5 months after operation, and the others were doing well.Conclusions:The clinical characteristics of abdominal cocoon disease are not typical. Surgery is the main treatment. The prognosis of the disease is generally fair.