Karona Paraskevi, Blevrakis Evangelos, Kastanaki Pagona, Tzouganakis Aggelos, Kastanakis Miltiades
First Department of Surgery, Saint George General Hospital of Chania, Chania, GRC.
Pediatric Surgery Department, Saint George General Hospital of Chania, Chania, GRC.
Cureus. 2021 Apr 7;13(4):e14351. doi: 10.7759/cureus.14351.
Abdominal cocoon syndrome or encapsulating peritoneal sclerosis is a rare condition causing small bowel obstruction. It is called cocoon syndrome because of the existence of an abnormal membrane that contains part or the entire small intestine. We present a case of a 49-year-old male, presenting to our department with recurrent episodes of obstructive ileus that did not respond to conservative treatment. He underwent exploratory laparotomy and a thick membrane covering the small bowel loops was found. The membrane was excised and sent for pathological examination. Abdominal cocoon syndrome is an acquired condition caused by an inflammatory process that is not yet completely understood. There are many theories for the pathophysiology of the disease. In most cases, the diagnosis is established during surgery. Complete removal of the membrane is the indicated surgical treatment. In mild cases, when the diagnosis is made preoperatively, conservative treatment should be the first choice.
腹茧症或包裹性腹膜硬化症是一种导致小肠梗阻的罕见病症。因其存在包裹部分或整个小肠的异常膜状物而被称为茧状综合征。我们报告一例49岁男性病例，该患者因反复出现肠梗阻发作且对保守治疗无反应而前来我院就诊。他接受了剖腹探查术，发现有一层厚膜覆盖着小肠肠袢。该膜被切除并送去做病理检查。腹茧症是一种由尚未完全明确的炎症过程引起的后天性病症。关于该疾病的病理生理学有许多理论。在大多数情况下，诊断是在手术过程中确立的。完全切除该膜是指定的手术治疗方法。在轻度病例中，若术前做出诊断，保守治疗应作为首选。
