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Case Report
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| Abdominal cocoon: Intestinal obstruction, perforation and ischemia | ||||||
| Bassem Mahmoud Abou Hussein1, Ali Mohammad Al-Ani2, Filza Khalid Khalid3, Yousif Hussein El Tayyeb4, Alya Saif Al-Mazrouei4, Faisal Mohammad Badri4 | ||||||
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1MD, Specialist, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates.
2MD, Senior Specialist, General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai United Arab Emirates. 3MD, Resident, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates. 4MD, Consultant, General Surgery Department, Rashid Hospital-Dubai Health Authority, Dubai, United Arab Emirates. | ||||||
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| Abou Hussein BM, Al-Ani A M, Khalid F, El Tayyeb YH, Al-Mazrouei AS, Badri FM. Abdominal cocoon: Intestinal obstruction, perforation and ischemia. J Case Rep Images Surg 2016;2:46–49. |
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Abstract
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Introduction:
Abdominal cocoon, also known as sclerosing encapsulating peritonitis, is a rare condition that indicates total or partial encapsulation of the small bowel by a fibrocollagenous membrane or cocoon leading to bowel obstruction. Approximately 50 cases have been reported in literature. Patients usually present with a picture of bowel obstruction and most cases are diagnosed during laparotomy.
Case Report: We report a case of a 31-year-old male who presented with picture of bowel obstruction and a palpable para-umbilical abdominal swelling. Laboratory and radiologic investigations were not conclusive. Exploratory laparotomy showed that the patient has abdominal cocoon with bowel obstruction, perforation and ischemia. The capsule was removed and the involved bowel segment was resected. Conclusion: Abdominal cocoon syndrome should be suspected in patients with bowel obstruction with no clear cause. Early diagnosis and treatment avoids bowel ischemia or further complications. | |
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Keywords:
Abdominal cocoon, Intestine, Ischemia, Obstruction, Perforation
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Author Contributions
Bassem Mahmoud Abou Hussein – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ali Mohammad Al-Ani – Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Filza Khalid Khalid – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article Yousif Hussein El Tayyeb – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Alya Saif Al-Mazrouei – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Faisal Mohammad Al-Badri – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Bassem Mahmoud Abou Hussein et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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