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一种不常见且困难的肠梗阻诊断:腹腔茧状包裹。病例报告及文献复习。

An unusual and difficult diagnosis of intestinal obstruction: The abdominal cocoon. Case report and review of the literature.

机构信息

Department of general surgery, 1st General surgery clinic, Ankara Ataturk training and research hospital, Ankara, Turkey.

出版信息

World J Emerg Surg. 2006 Mar 24;1:8. doi: 10.1186/1749-7922-1-8.

DOI:10.1186/1749-7922-1-8
PMID:16759404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1459267/
Abstract

Abdominal cocoon is a rare cause of intestinal obstruction. The abdominal cocoon is probably a developmental abnormality, largely asymptomatic, and is found incidentally at laparotomy or autopsy. Pre-operative diagnosis cannot be often made correctly. This rare entity of intestinal obstruction has been described in the whole literature as a thick fibrotic sac covering the small bowel partially or completely. The etiology of abdominal cocoon is unknown and most often it is found in adolescent girls from tropical or subtropical countries. Complete recovery is generally expected after the removal of the membrane surgically. This paper reports a male patient who has had intestinal obstruction symptoms and has per-operatively been diagnosed as abdominal cocoon.

摘要

腹腔茧是一种罕见的肠梗阻原因。腹腔茧可能是一种发育异常,大多无症状,在剖腹手术或尸检时偶然发现。术前诊断通常不能正确做出。这种罕见的肠梗阻在整个文献中被描述为一种厚厚的纤维性囊,部分或完全覆盖小肠。腹腔茧的病因尚不清楚,最常见于来自热带或亚热带国家的青春期少女。通过手术切除膜后,通常可以完全恢复。本文报告了一例男性患者,他有肠梗阻症状,并在术中被诊断为腹腔茧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c7/1459267/0a505f7ca012/1749-7922-1-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c7/1459267/0a505f7ca012/1749-7922-1-8-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c7/1459267/0a505f7ca012/1749-7922-1-8-1.jpg

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本文引用的文献

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Saudi Med J. 2004 Oct;25(10):1482-5.
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Abdominal cocoon due to primary peritonitis: barium meal is valuable in diagnosis.原发性腹膜炎所致腹腔茧状包裹症:钡餐检查对诊断有重要价值。
腹茧症合并术后早期小肠梗阻:一例病例报告及中国文献复习
Medicine (Baltimore). 2018 Jun;97(25):e11102. doi: 10.1097/MD.0000000000011102.
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The enigma of primary and secondary encapsulating peritoneal sclerosis.原发性和继发性包裹性腹膜硬化之谜
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An unusual small bowel obstruction (abdominal cocoon): a case report.一例罕见的小肠梗阻(腹茧症):病例报告
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