World Journal of Emergency Medicine ›› 2014, Vol. 5 ›› Issue (3): 234-236.doi: 10.5847/wjem.j.issn.1920-8642.2014.03.014
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Mayank Jayant, Robin Kaushik()
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Abstract:
BACKGROUND: Intestinal obstruction remains a common problem encountered in the surgical emergency, and usually occurs secondary to adhesions, obstructed herniae or tubercular strictures. However, at times, rare causes of obstruction can also be encountered.METHODS: A 24-year-old male patient presented with recurrent episodes of intestinal obstruction that was found to be secondary to an abdominal cocoon on laparotomy.RESULTS: The patient underwent adhesiolysis of the cocoon, and remains well on a follow-up. Histopathological report of the cocoon wall revealed fibrocollagenic tissues with a mixed inflammatory infiltrate, without any evidence of tuberculosis.CONCLUSIONS: Abdominal cocoon can be a rare cause of intestinal obstruction in male patients. Adhesiolysis of the cocoon membrane releases the obstruction and gives good results.
Key words: Intestinal obstruction, Cocoon, Idiopathic, Tuberculosis, Emergency surgery, Laparotomy
Mayank Jayant, Robin Kaushik. Abdominal cocoon in a young man[J]. World Journal of Emergency Medicine, 2014, 5(3): 234-236.
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URL: http://wjem.com.cn//EN/10.5847/wjem.j.issn.1920-8642.2014.03.014
http://wjem.com.cn//EN/Y2014/V5/I3/234
Figure 1.
CT scan image showing dilated small bowel loops.
Figure 2.
Photograph showing the cocoon encasing the bowel loops at the time of laparotomy.
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