Alammar Zainab, Alnajjar Jawad S, Almarzooq Mohammed A, Alquaimi Manal
Department of Surgery, King Fahd Hospital, Alahsa, Saudi Arabia.
College of Medicine, King Faisal University, Alahsa, Saudi Arabia.
J Surg Case Rep. 2025 Aug 6;2025(8):rjaf595. doi: 10.1093/jscr/rjaf595. eCollection 2025 Aug.
Abdominal cocoon syndrome (ACS) is a rare cause of small bowel obstruction (SBO). Its nonspecific presentation frequently mimics more common obstructive pathologies, delaying diagnosis. A 56-year-old male presented with abdominal pain, obstipation, and vomiting. CT showed clustered ileal loops. Exploratory laparotomy revealed a thick fibrocollagenous peritoneal membrane encapsulating ischemic bowel loops. Resection of non-viable bowel and enteroenterostomy were performed. Postoperative recovery was complicated with an asymptomatic intra-abdominal collection managed with vacuum-assisted dressing. ACS poses diagnostic and therapeutic challenges. Early recognition and surgical intervention are essential to avoid complications. Clinician awareness is crucial for timely diagnosis and management.
腹茧症（ACS）是小肠梗阻（SBO）的罕见病因。其非特异性表现常类似更常见的梗阻性病变，导致诊断延迟。一名56岁男性出现腹痛、便秘和呕吐。CT显示回肠袢聚集。剖腹探查发现一层厚厚的纤维胶原性腹膜包裹着缺血的肠袢。切除无活力的肠段并进行肠肠吻合术。术后恢复过程中出现了一个无症状的腹腔内积液，通过负压辅助敷料进行处理。腹茧症带来诊断和治疗方面的挑战。早期识别和手术干预对于避免并发症至关重要。临床医生的认识对于及时诊断和管理至关重要。
