Qasaimeh Ghazi Raji, Amarin Zouhair, Rawshdeh Bilal N, El-Radaideh Khaled M
Department of General Surgery-Medical College, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan.
Surg Laparosc Endosc Percutan Tech. 2010 Oct;20(5):e169-71. doi: 10.1097/SLE.0b013e3181f193ec.
Abdominal cocoon is a rare cause of small bowel obstruction. It is characterized by the encasement of a variable length of the small intestine by a fibrous membrane. It occurs primarily in females with only few reported cases in males. We report the case of a 42-year-old male with a history suggestive of recurrent attacks of small bowel obstruction over a 6-month period, which used to resolve spontaneously or by conservative measures. At presentation, a mildly tender mobile mass was felt in the right lower part of the abdomen. Computed tomography scan of the abdomen showed clusters of small bowel loops encased within a well-delineated sac. The diagnosis was confirmed by diagnostic laparoscopy. Laparoscopic lyses and release of the entrapped bowel was performed. The postoperative period was uneventful. Follow-up over 18 months showed no clinical evidence of recurrence.
腹茧症是小肠梗阻的罕见病因。其特征是一段长度不一的小肠被一层纤维膜包裹。该病主要发生于女性，男性病例报道较少。我们报告一例42岁男性患者，有6个月期间反复出现小肠梗阻发作的病史，以往发作时梗阻可自行缓解或通过保守治疗缓解。就诊时，在右下腹部可触及一个轻度压痛的可移动肿块。腹部计算机断层扫描显示一簇小肠袢被包裹在一个边界清晰的囊内。通过诊断性腹腔镜检查确诊。进行了腹腔镜下粘连松解及被困肠管的游离。术后恢复顺利。18个月的随访显示无复发的临床证据。
