Wani Imtiaz, Ommid Mohamad, Waheed Arfat, Asif Mehraj
Department of Surgery, SMHS Hospital, Srinagar, Kashmir, India.
Ulus Travma Acil Cerrahi Derg. 2010 Nov;16(6):508-10.
Tuberculous abdominal cocoon is a rare disease, and diagnosis is seldom made preoperatively. The bowel is encased in a membrane in a cocoon-like fashion. Histopathology is confirmatory.
This prospective case note review was a study of patients diagnosed with tuberculous abdominal cocoon from April 2005 - April 2008. There were 8 females and 3 males.
All patients had features of small bowel obstruction. All had laparotomy and the characteristic finding of absence of the greater omentum from the involved area and the absence of any stigmata of gut tuberculosis. Peeling of membrane is all that is required, and patients received anti-tubercular therapy postoperatively. In each case, evidence of tuberculosis on histopathology of membrane was present.
Tuberculous abdominal cocoon is a rare entity. Females are commonly affected. Surgery is the preferred treatment.
结核性腹茧症是一种罕见疾病，术前很少能做出诊断。肠道被包裹在一层类似茧的膜中。组织病理学检查可确诊。
本前瞻性病例记录回顾研究了2005年4月至2008年4月期间诊断为结核性腹茧症的患者。其中女性8例，男性3例。
所有患者均有小肠梗阻的表现。均接受了剖腹手术，特征性发现为受累区域无大网膜，且无肠道结核的任何体征。只需剥除包膜，患者术后接受抗结核治疗。每例患者的包膜组织病理学检查均有结核证据。
结核性腹茧症是一种罕见病症。女性更常受累。手术是首选治疗方法。
