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[Comprehensive analysis of 203 cases with abdominal cocoon].

Jin-fu Tu1, Xiu-fang Huang, Guan-bao Zhu

  • 1Department of Surgery, The First Affiliated Hospital, Wenzhou Medical College, Wenzhou 325000, China. tujinfu@sina.com

Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery
|March 24, 2006
PubMed
Summary

Abdominal cocoon diagnosis is challenging, often requiring surgery for intestinal obstruction. Recurrent obstruction is a common postoperative issue in this rare condition.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Context:

  • Abdominal cocoon is a rare condition characterized by a membrane encasing the intestines.
  • It presents with symptoms primarily of intestinal obstruction.

Purpose:

  • To investigate the clinical features, diagnostic methods, and treatment outcomes of abdominal cocoon.
  • To analyze a retrospective cohort of patients diagnosed with abdominal cocoon.

Summary:

  • The study reviewed 203 cases (1995-2005), with a male predominance and mean age of 33.
  • Clinical manifestations included recurrent intestinal obstruction (72.4%) and abdominal mass (26.1%).
  • Preoperative diagnosis was low (3.0%), with surgery involving membrane excision and enterolysis being the primary treatment. Postoperative complications included recurrent obstruction and mortality.

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Impact:

  • Highlights the diagnostic difficulties and emphasizes the need for surgical intervention in suspected cases.
  • Identifies recurrent adhesive intestinal obstruction as a significant postoperative complication, guiding future management strategies.