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 UNUSUAL CASE
Year : 2011  |  Volume : 7  |  Issue : 3  |  Page : 184-186

An unusual case in surgical emergency: Abdominal cocoon and its laparoscopic management


1 Department of General Surgery, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
2 Department of General Surgery, Acibadem Kozyatagi Hospital, Istanbul, Turkey

Correspondence Address:
Volkan Ozben
Surmene Devlet Hastanesi, Genel Cerrahi Klinigi, PO box: 61600, Surmene, Trabzon
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.83511

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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.






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