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