Foo K T, Ng K C, Rauff A, Foong W C, Sinniah R
Br J Surg. 1978 Jun;65(6):427-30. doi: 10.1002/bjs.1800650617.
Ten cases of small intestinal obstruction seen over a period of 6 years (1971-6) in young girls within the narrow age range of 13-18 years are described. The patients were all within 2 years of menarche. In all these cases the obstruction was due to a membrane encasing the small intestine in the manner of a cocoon. There was no previous history of abdominal operation, peritonitis or prolonged drug intake. The clinical features, operative findings and management of the cases are presented. Possible causes of the condition are discussed. In view of the similar clinical presentation in all these patients, their conditions can be grouped as a clinical entity--'the abdominal cocoon'.
本文描述了1971年至1976年期间6年内，在年龄范围狭窄的13至18岁年轻女孩中出现的10例小肠梗阻病例。这些患者均处于初潮后2年内。所有这些病例中，梗阻是由一层膜以茧的方式包裹小肠所致。既往无腹部手术史、腹膜炎或长期服药史。文中介绍了这些病例的临床特征、手术所见及处理方法。讨论了该病症可能的病因。鉴于所有这些患者临床表现相似，可将其病情归为一种临床实体——“腹茧症”。
