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Title: Abdominal Cocoon Syndrome
Authors: Pokharel, Pratit
Bista, Yogendra
Desar, Rabindra
Benjankar, Raj Babu
Sharma, Pradip
Citation: PokharelP., BistaY., DesarR., BenjankarR. B., & SharmaP. (2019). Abdominal Cocoon Syndrome. Journal of Nepal Health Research Council, 17(2), 264-266.
Issue Date: 2019
Publisher: Nepal Health Research Council
Keywords: Abdomen
Abdominal cocoon
Encapsulated cluster
Series/Report no.: Apr-June, 2019;1934
Abstract: Abstract Abdominal cocoon syndrome is rare cause of intestinal obstruction characterized by small bowel encapsulation by a fibro-collagenous membrane or “cocoon”.A 30 yearman presented in emergency department with abdominal pain. Preoperatively contrast enhanced computed tomography of abdomen revealed encapsulated cluster of mildly dilated and edematous small bowel loops with multiple air fluid levels with thin membrane and crowding of mesenteric vessels in left upper quadrant.Intra-operatively, the entire small bowel was found to be encapsulated in a dense fibrous sac. The peritoneal sac was excised, followed by lysis of the inter-loop adhesionswith smooth postoperative recovery.High index of suspicion is required in patient presenting with features of recurrent acute or chronic small bowel obstruction for diagnosis of abdominal cocoon syndrome. Contrast enhanced Computed Tomography of abdomen is a useful radiological to aid in preoperative diagnosis of syndrome. Keywords: Abdomen; abdominal cocoon; CECT; encapsulated cluster.
Description: Case Report
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 17 No. 2 Issue 43 Apr - Jun 2019

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