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The abdominal cocoon case report

A Marinho, B Adelusi

    British Journal of Obstetrics and Gynaecology
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of cocoon ileus occurred in a 17-year-old girl post-pregnancy. Surgical excision of the fibrous cocoon successfully treated the abdominal pain and mass.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Reproductive Medicine

    Background:

    • Postpartum complications can manifest in various ways.
    • Abdominal masses in young women require thorough investigation.
    • Pregnancy can be associated with rare gastrointestinal complications.

    Observation:

    • A 17-year-old female presented with intermittent abdominal pain and a palpable abdominal mass.
    • Imaging revealed encasement of the terminal ileum within a fibrous 'cocoon'.
    • Symptoms began six weeks after her first pregnancy concluded.

    Findings:

    • The condition was diagnosed as cocoon ileus, a rare entity involving peritoneal fibrosis.
    • Surgical excision of the fibrous cocoon was performed.
    • Histopathological examination confirmed fibrous tissue encasing the ileum.

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    Implications:

    • This case highlights cocoon ileus as a potential, albeit rare, postpartum complication.
    • Early surgical intervention appears effective in managing symptomatic cocoon ileus.
    • Further research into the etiology and long-term outcomes of postpartum cocoon ileus is warranted.