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The abdominal cocoon.

F W Yip1, S H Lee

  • 1Department of Surgery, University Hospital, University of Malaya, Kuala Lumpur.

The Australian and New Zealand Journal of Surgery
|August 1, 1992
PubMed
Summary
This summary is machine-generated.

Abdominal cocoon is a rare cause of intestinal obstruction, typically affecting females. This study presents five new cases, including a male patient, and reviews literature, highlighting the importance of accurate diagnosis and lysis of adhesions to prevent unnecessary bowel resection.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Abdominal cocoon, a rare condition causing intestinal obstruction, involves the small intestine being encased in a fibrous membrane.
  • Historically, this condition has been exclusively reported in female patients since its initial description in 1978.

Observation:

  • The diagnosis of abdominal cocoon is typically established during laparotomy.
  • This study introduces five new cases, notably including the first reported male patient with this condition.
  • A comprehensive review of existing English literature on abdominal cocoon cases was conducted.

Findings:

  • The condition is characterized by the small intestine being enveloped within a fibrous sac.
  • The primary treatment involves surgical lysis of adhesions, which is effective for managing the obstruction.

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Implications:

  • Accurate recognition of abdominal cocoon as a benign entity is crucial for appropriate clinical management.
  • Timely diagnosis and surgical intervention can prevent unnecessary and potentially harmful bowel resections.
  • The inclusion of a male patient expands the known demographic profile of this rare condition.