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Indian Journal of Surgery
Published in: Indian Journal of Surgery 1/2013

01-06-2013 | Case Report

Abdominal Cocoon: An Unusual Cause of Subacute Intestinal Obstruction

Authors: Md. Yunus S. Shah, B. S. Gedam, R. Sonarkar, K. S. S. Gopinath

Published in: Indian Journal of Surgery | Special Issue 1/2013

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Abstract

We report an unusual cause of subacute intestinal obstruction in a young adolescent girl, which is a nontubercular abdominal cocoon. Barium meal follow-through revealed “cauliflower”-like appearance of small bowel. The patient underwent an exploratory laparotomy showing thick fibrous-like coverings which were encasing the small bowel loops to form an abdominal cocoon. Fibrocollagenous membrane was excised after adhesiolysis. Histopathological examination of membrane revealed fibrocollagenous membrane with hyaline deposition of nontubercular origin.
Literature
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Sahoo SP, Gangopadhyay AN, Gupta DK, Gopal SC, Sharma SP, Dash RN (1996) Abdominal cocoon in children: a report of four cases. J Pediatr Surg 31:987–988PubMedCrossRef
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Wig JD, Goenka MK, Nagi B, Vaphei K (1995) Abdominal cocoon in a male: a rare cause of intestinal obstruction. Trop Gastroenterol 16:31–33PubMed
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Foo KT, Ng KC, Rauff A, Foong WC, Sinniah R (1978) Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg 65:427–430PubMedCrossRef
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Sieck JO, Cowgill R, Larkworthy W (1983) Peritoneal encapsulation and abdominal cocoon: case reports and the review of literature. Gastroenterology 84:1597–1601PubMed
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Metadata
Title
Abdominal Cocoon: An Unusual Cause of Subacute Intestinal Obstruction
Authors
Md. Yunus S. Shah
B. S. Gedam
R. Sonarkar
K. S. S. Gopinath
Publication date
01-06-2013
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue Special Issue 1/2013
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-012-0582-9

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