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Updated: Dec 5, 2025

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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
PubMed
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.

Keywords:
Abdominal cocoon syndromeCase reportCryptorchid surgeryCryptorchidismPrognosis

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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.