Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula
IntroductionAbdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.Case PresentationWe admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo...
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| Format: | Article |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.856583/full |
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| author | Jian Jiao Keshu Shan Kun Xiao Zhenjun Liu Ronghua Zhang Kangdi Dong Jin Liu Qiong Teng Liang Shang Leping Li |
| author_facet | Jian Jiao Keshu Shan Kun Xiao Zhenjun Liu Ronghua Zhang Kangdi Dong Jin Liu Qiong Teng Liang Shang Leping Li |
| author_sort | Jian Jiao |
| collection | DOAJ |
| description | IntroductionAbdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.Case PresentationWe admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo-colonic fistula. She was admitted to our hospital for the following reasons: “the menstrual cycle is prolonged for half a year, and fatigue, palpitations, and shortness of breath for 2 months”. On the morning of the 4th day of admission, the patient experienced sudden, severe, and intolerable abdominal pain after defecating. An emergency abdominal CT examination revealed intestinal obstruction. Surgery was performed, and the small intestine and colon were observed to be conglutinated and twisted into a mass surrounded by a fibrous membrane, and an enteroenteric fistula was observed between the jejunum, ileum, and sigmoid colon. We successfully relieved the intestinal obstruction and performed adhesiolysis. The patient was discharged from our hospital on the 6th postoperative day, then she recovered and was discharged from Feicheng People's Hospital after another 11 days of conservative treatment, and she recovered well-during the 2-month follow-up period.ConclusionAbdominal cocoon coexisting with a jejuno-ileo-colonic fistula is very rare. During the process of abdominal cocoon treatment, the patient's medical history should be understood in detail before the operation, and the abdominal organs should be carefully evaluated during the operation to avoid missed diagnoses. |
| first_indexed | 2024-12-12T15:17:24Z |
| format | Article |
| id | doaj.art-f7d872511b254c0d9b07452067393938 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-12T15:17:24Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-f7d872511b254c0d9b074520673939382022-12-22T00:20:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-04-01910.3389/fsurg.2022.856583856583Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic FistulaJian Jiao0Keshu Shan1Kun Xiao2Zhenjun Liu3Ronghua Zhang4Kangdi Dong5Jin Liu6Qiong Teng7Liang Shang8Leping Li9Shandong First Medical University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Feicheng Hospital Affiliated to Shandong First Medical University, FeiCheng People's Hospital, Feicheng, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaDepartment of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaCheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaDepartment of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, ChinaIntroductionAbdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.Case PresentationWe admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo-colonic fistula. She was admitted to our hospital for the following reasons: “the menstrual cycle is prolonged for half a year, and fatigue, palpitations, and shortness of breath for 2 months”. On the morning of the 4th day of admission, the patient experienced sudden, severe, and intolerable abdominal pain after defecating. An emergency abdominal CT examination revealed intestinal obstruction. Surgery was performed, and the small intestine and colon were observed to be conglutinated and twisted into a mass surrounded by a fibrous membrane, and an enteroenteric fistula was observed between the jejunum, ileum, and sigmoid colon. We successfully relieved the intestinal obstruction and performed adhesiolysis. The patient was discharged from our hospital on the 6th postoperative day, then she recovered and was discharged from Feicheng People's Hospital after another 11 days of conservative treatment, and she recovered well-during the 2-month follow-up period.ConclusionAbdominal cocoon coexisting with a jejuno-ileo-colonic fistula is very rare. During the process of abdominal cocoon treatment, the patient's medical history should be understood in detail before the operation, and the abdominal organs should be carefully evaluated during the operation to avoid missed diagnoses.https://www.frontiersin.org/articles/10.3389/fsurg.2022.856583/fullabdominal cocoonenteroenteric fistulajejuno-ileo-colonic fistulatreatmentcase report |
| spellingShingle | Jian Jiao Keshu Shan Kun Xiao Zhenjun Liu Ronghua Zhang Kangdi Dong Jin Liu Qiong Teng Liang Shang Leping Li Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula Frontiers in Surgery abdominal cocoon enteroenteric fistula jejuno-ileo-colonic fistula treatment case report |
| title | Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula |
| title_full | Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula |
| title_fullStr | Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula |
| title_full_unstemmed | Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula |
| title_short | Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula |
| title_sort | case report abdominal cocoon with jejuno ileo colonic fistula |
| topic | abdominal cocoon enteroenteric fistula jejuno-ileo-colonic fistula treatment case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.856583/full |
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