An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management
Small bowel obstruction associated with abdominal cocoon (AC) is a rarely encountered surgical emergency. This condition is characterised by a thick fibrous membrane which encases the small bowel partially or completely. It is usually difficult to be able to make a definitive diagnosis in the presen...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
|
| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=3;spage=184;epage=186;aulast=Ertem |
| _version_ | 1818450313234874368 |
|---|---|
| author | Metin Ertem Volkan Ozben Hakan Gok Ersin Aksu |
| author_facet | Metin Ertem Volkan Ozben Hakan Gok Ersin Aksu |
| author_sort | Metin Ertem |
| collection | DOAJ |
| description | Small bowel obstruction associated with abdominal cocoon (AC) is a rarely encountered surgical emergency. This condition is characterised by a thick fibrous membrane which encases the small bowel partially or completely. It is usually difficult to be able to make a definitive diagnosis in the presence of obscure clinical and radiological findings. Diagnosis is usually made at laparotomy when the encasement of the small bowel within a cocoon-like sac is visualised. Here, we report on a 29-year-old male patient who presented with acute small bowel obstruction and was eventually diagnosed with AC at laparoscopy. In this case, laparoscopic excision of the fibrous sac and extensive adhesiolysis resulted in complete recovery. Although rare, the diagnosis of AC should be kept in cases of patients with intestinal obstruction combined with relevant imaging findings. Laparoscopy should also be considered for the management of this condition in suitable patients. |
| first_indexed | 2024-12-14T20:49:19Z |
| format | Article |
| id | doaj.art-cb7bcbeb04c44a0788c2677b25a75738 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-14T20:49:19Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-cb7bcbeb04c44a0788c2677b25a757382022-12-21T22:47:52ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212011-01-017318418610.4103/0972-9941.83511An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic managementMetin ErtemVolkan OzbenHakan GokErsin AksuSmall bowel obstruction associated with abdominal cocoon (AC) is a rarely encountered surgical emergency. This condition is characterised by a thick fibrous membrane which encases the small bowel partially or completely. It is usually difficult to be able to make a definitive diagnosis in the presence of obscure clinical and radiological findings. Diagnosis is usually made at laparotomy when the encasement of the small bowel within a cocoon-like sac is visualised. Here, we report on a 29-year-old male patient who presented with acute small bowel obstruction and was eventually diagnosed with AC at laparoscopy. In this case, laparoscopic excision of the fibrous sac and extensive adhesiolysis resulted in complete recovery. Although rare, the diagnosis of AC should be kept in cases of patients with intestinal obstruction combined with relevant imaging findings. Laparoscopy should also be considered for the management of this condition in suitable patients.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=3;spage=184;epage=186;aulast=ErtemAbdominal cocoonlaparoscopymanagementsmall bowel obstruction |
| spellingShingle | Metin Ertem Volkan Ozben Hakan Gok Ersin Aksu An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management Journal of Minimal Access Surgery Abdominal cocoon laparoscopy management small bowel obstruction |
| title | An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management |
| title_full | An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management |
| title_fullStr | An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management |
| title_full_unstemmed | An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management |
| title_short | An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management |
| title_sort | unusual case in surgical emergency abdominal cocoon and its laparoscopic management |
| topic | Abdominal cocoon laparoscopy management small bowel obstruction |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=3;spage=184;epage=186;aulast=Ertem |
| work_keys_str_mv | AT metinertem anunusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT volkanozben anunusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT hakangok anunusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT ersinaksu anunusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT metinertem unusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT volkanozben unusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT hakangok unusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement AT ersinaksu unusualcaseinsurgicalemergencyabdominalcocoonanditslaparoscopicmanagement |