Tolstrup Johan, Lauritsen Morten Laksáfoss
Ugeskr Laeger. 2017 Dec 11;179(50).
This case report describes an eight-year-old girl who was admitted under the suspicion of gastroenteritis. The physical examination revealed symptoms of acute bowel obstruction, which was confirmed by abdominal CT scan. Explorative laparotomy showed a fibrotic membrane encapsulating the small intestine causing obstruction and ischaemia, and the perioperative diagnosis was abdominal cocoon syndrome. Two metres of the small intestine, excessive peritoneal membrane and the appendix was resected and an ileostomy was performed. The patient recovered with antibiotics, fluid therapy and parenteral nutrition.
本病例报告描述了一名8岁女童，因疑似肠胃炎入院。体格检查发现急性肠梗阻症状，腹部CT扫描予以证实。剖腹探查显示一层纤维化膜包裹小肠，导致梗阻和缺血，围手术期诊断为腹茧症。切除了两米小肠、过多的腹膜和阑尾，并进行了回肠造口术。患者通过抗生素、液体疗法和肠外营养得以康复。
