Abdominal cocoon and adhesiolysis: a case report and a literature review

Hassan Al-Thani1, Jamila El Mabrok, Noof Al Shaibani

  • 1Trauma Surgery Section, Department of Surgery, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.

Insights

Abdominal cocoon, a rare cause of intestinal obstruction, is challenging to diagnose preoperatively. Surgical membrane removal offers complete recovery for most patients with this condition.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Abdominal cocoon is a rare condition characterized by intestinal obstruction.
  • Preoperative diagnosis of abdominal cocoon is often difficult.
  • The etiology of abdominal cocoon remains largely unknown.

Purpose of the Study:

  • To report a case of abdominal cocoon presenting with intestinal obstruction.
  • To highlight the intraoperative diagnostic approach.

Main Methods:

  • Case report of a male patient with intestinal obstruction.
  • Intraoperative diagnosis and surgical intervention.

Main Results:

  • The patient presented with symptoms of intestinal obstruction.
  • Abdominal cocoon was diagnosed during surgery.
  • Surgical removal of the membrane led to complete recovery.

Conclusions:

  • Abdominal cocoon is a rare but treatable cause of intestinal obstruction.
  • Intraoperative diagnosis is crucial when preoperative suspicion is low.
  • Surgical intervention is effective for managing abdominal cocoon.

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