Sieck J O, Cowgill R, Larkworthy W
Gastroenterology. 1983 Jun;84(6):1597-1601.
Peritoneal encapsulation and abdominal cocoon are rare entities, with only 7 and 13 cases, respectively, having so far been reported. A case of each of these conditions is emphasized. Peritoneal encapsulation is probably a development abnormality, largely asymptomatic, and found incidentally at laparotomy or autopsy. The accessory membrane present in front of the small bowel can be easily removed, but excision may not be necessary. Abdominal cocoon is a total or partial encapsulation of the small bowel. It has a tropical or subtropical distribution and presents in young girls as acute or chronic bowel obstruction. Complete recovery is the rule after removal of the membrane. The first example of preoperative radiologic diagnosis is presented. An infective etiology is suggested.
腹膜包裹症和腹茧症均为罕见病症，迄今为止分别仅报告过7例和13例。文中着重介绍了这两种病症各1例的情况。腹膜包裹症可能是一种发育异常，大多无症状，在剖腹手术或尸检时偶然发现。小肠前方存在的副膜可轻易切除，但可能无需切除。腹茧症是小肠的完全或部分包裹。它呈热带或亚热带分布，在年轻女性中表现为急性或慢性肠梗阻。切除包膜后通常可完全康复。文中展示了术前放射学诊断的首个实例。提示存在感染性病因。
