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Primary abdominal cocoon with cryptorchidism: a case report.
Wei-Jie Song1,2, Xin-Yi Liu3, Galal Abdullah Ali Saad4
1Department of Urology, Central South University, The Third Xiangya Hospital, No. 138 Tongzipo Road, Changsha City, 410013, Hunan Province, China.
BMC Gastroenterology
|October 15, 2020
Summary
A rare case of primary abdominal cocoon complicated by intestinal obstruction is presented. Previous surgery for bilateral cryptorchidism may have accelerated the obstruction in this patient.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Urology
Background:
- Presents a rare case of primary abdominal cocoon, a condition characterized by a cocoon-like membrane enveloping the intestines.
- Highlights the co-occurrence of primary abdominal cocoon with bilateral cryptorchidism.
Observation:
- A patient with a history of laparoscopic surgery for bilateral cryptorchidism presented with intestinal obstruction.
- Intraoperative findings revealed extensive cocoon-like tissues surrounding the bowel, distinct from the greater omentum.
Findings:
- The patient was diagnosed with primary abdominal cocoon.
- Hypothesizes that prior abdominal surgery for bilateral cryptorchidism may have accelerated the onset of intestinal obstruction.
Implications:
- Suggests that urologists should screen for abdominal cocoon before performing cryptorchidism surgery.
- Emphasizes the importance of selecting appropriate surgical methods to mitigate risks associated with abdominal cocoon and cryptorchidism surgery.

