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Rare etiology of mechanical intestinal obstruction: Abdominal cocoon syndrome

World Journal of Clinical Cases 2014年第11期2卷 728-731页

作者： Yener Uzunoglu Fatih Altintoprak Omer Yalkin Yasemin Gunduz guner cakmak Orhan V Ozkan Fehmi Celebi Departmentof General Surgery Sakarya University Research and Educational Hospital 54100 Sakarya Turkey Department of General Surgery Faculty of Medicine Sakarya University 54100 Sakarya Turkey Department of Radiology Faculty of Medicine Sakarya University 54100 Sakarya Turkey

Abdominal cocoon syndrome is a rare cause of intestinal obstruction with unknown etiology. Diagnosis of this syndrome, which can be summarized as the small intestine being surrounded by a fibrous capsule not containing the mesothelium, is difficult in the preoperative period. A 47-year-old male patient was referred to the emergency department with complaints of abdominal pain, nausea, and vomiting for two days. The abdominal computed tomography examination detected dilated small intestinal loops containing air-fluid levels clustered in the left upper quadrant of the abdomen and surrounded by a thick, saclike, contrast-enhanced membrane. During exploratory surgery, a capsular structure was identified in the upper left quadrant with a regular surface that was solid-fibrous in nature. Ab-dominal cocoon syndrome is a rarely seen condition, for which the preoperative diagnosis is difficult. The combination of physical examination and radiological signs, and the knowledge of "recurrent characteristics of the complaints" that can be learned by a careful history, may be helpful in diagnosis.

关键词： Intestinal obstruction Abdominal cocoon syndrome Preoperatively diagnosis Adult patient

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