Akbas Ahmet, Hacım Nadir Adnan, Dagmura Hasan, Meric Serhat, Altınel Yüksel, Solmaz Ali
Department of General Surgery, Bagcılar Training and Research Hospital, Istanbul, Turkey.
Department of General Surgery, Gaziosmanpaşa University, Tokat, Turkey.
Case Rep Surg. 2020 Jan 29;2020:4631710. doi: 10.1155/2020/4631710. eCollection 2020.
Abdominal cocoon syndrome (ACS), also called sclerosing encapsulated peritonitis, is a condition characterized by encapsulation of all or some of small bowel loops by a thick fibrous membrane. Etiologic cause is not fully known. It is among the rare causes of intestinal obstruction in adults. Preoperative diagnosis is difficult, and high suspicion is required. Diagnosis is generally made during laparotomy performed due to mechanical obstruction. In treatment of the condition, large scale surgical resections should be avoided. In the present study, we aimed to evaluate all clinical and radiological characteristics and surgical treatment of ACS in light of the literature through four patients operated in our clinic.
腹茧症(ACS),又称硬化性包裹性腹膜炎,是一种以全部或部分小肠袢被一层厚厚的纤维膜包裹为特征的疾病。病因尚不完全清楚。它是成人肠梗阻的罕见病因之一。术前诊断困难,需要高度怀疑。诊断通常在因机械性梗阻而进行的剖腹手术中做出。在该疾病的治疗中,应避免大规模手术切除。在本研究中,我们旨在通过对在我们诊所接受手术的4例患者,结合文献评估腹茧症的所有临床和影像学特征及手术治疗情况。