Volume 4 Issue 2
Apr.  2013
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Jun-chao GUO, Shu-jun XIA, Tai-ping ZHANG, Yu-pei ZHAO. Diagnosis and Surgical Treatment of Primary Abdominal Cocoon:Report of 12 Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 165-168. doi: 10.3969/j.issn.1674-9081.2013.02.017
Citation: Jun-chao GUO, Shu-jun XIA, Tai-ping ZHANG, Yu-pei ZHAO. Diagnosis and Surgical Treatment of Primary Abdominal Cocoon:Report of 12 Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 165-168. doi: 10.3969/j.issn.1674-9081.2013.02.017

Diagnosis and Surgical Treatment of Primary Abdominal Cocoon:Report of 12 Cases

doi: 10.3969/j.issn.1674-9081.2013.02.017
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  • Corresponding author: ZHAO Yu-pei Tel: 010-69155805, E-mail:zhao8028@263.com
  • Received Date: 2013-01-21
  • Publish Date: 2013-04-30
  •   Objective  To summarize our experiences in the diagnosis and treatment of primary abdominal cocoon.  Methods  The clinical data of 12 patients with abdominal cocoon who were treated in the general surgery department of Peking Union Medical College Hospital from January 2002 to January 2012 were retrospectively analyzed.  Results  Of these 12 patients, there were 8 males and 4 females. The main clinical manifestations included abdominal pain, abdominal distention, nausea, vomiting, and abdominal mass. Ultrasonography was the most frequent diagnostic approach. Computed tomography (CT) was performed in 6 cases, among whom only one patient was considered to be with abdominal cocoon. All these 12 patients received surgical treatment and 8 of them underwent partial intestinal excisions. The postoperative exhaust time was (5.8±3.0) days; the time to foodtaking was (14.8±3.6) days; and the mean hospital stay was (28.2±6.5) days. The postoperative complications included delayed gastric emptying (n=6), abdominal infection (n=4), and anastomotic fistula (n=2). Three patients (25%) died after the surgery due to sever infection and the remaining patients were followed up for 16 months (mean). Six patients well recovered, whereas the remaining 3 patients had incomplete intestinal obstruction and were given conservative treatment.  Conclusion  The preoperative diagnosis of abdominal cocoon remains challenging. Abdominal ultrasonography is the most commonly applied examination, and enhanced CT may facilitate the diagnosis. Surgery should be performed for patients with recurrent acute or chronic intestinal obstruction.
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  • [1] Foo KT, Ng KC, Rauff A. Unusual small intestinal obstruction in adolescent girls:the abdominal cocoon[J]. Br J Surg, 1978, 65:427-430. doi:  10.1002/bjs.1800650617
    [2] 屠金夫, 黄秀芳, 朱冠保.腹茧症203例综合分析[J].中华胃肠外科杂志, 2006, 9:133-135. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgwcwkzz200602014
    [3] Hoff CM. Experimental animal models of encapsulating peritoneal sclerosis[J]. Perit Dial Int, 2005, 25(Suppl 4):S57-S66. http://www.ncbi.nlm.nih.gov/pubmed/16300273
    [4] Mizuno M, Ito Y, Mizuno T. Membrane complement regulators protect against fibrin exudation increases in a severe peritoneal inflammation model in rats[J]. Am J Physiol Renal Physiol, 2012, 302:1245-1251. doi:  10.1152/ajprenal.00652.2011
    [5] García-López E, Lindholm B, Davies S. An update on peritoneal dialysis solutions[J]. Nat Rev Nephrol, 2012, 8:224-233. http://www.ncbi.nlm.nih.gov/pubmed/22349485
    [6] Pletinck A, Vanholder R, Veys N. Protecting the peritoneal membrane:factors beyond peritoneal dialysis solutions[J]. Nat Rev Nephrol, 2012, 8:542-550. http://www.nature.com/nrneph/journal/v8/n9/abs/nrneph.2012.144.html
    [7] 管金平, 秦宪斌, 张建立.腹茧症的外科治疗(附9例报告)[J].青岛大学医学院学报, 2000, 36:298. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=qdyxyxb200004029
    [8] 葛晓明, 孙晓光, 梁正.腹茧症的诊治体会(附10例报告)[J].齐齐哈尔医学院学报, 2008, 29:2463. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=qqhryxyxb200820019
    [9] Rastogi R. Abdominal cocoon secondary to tuberculosis[J]. Saudi J Gastroenterol, 2008, 14:139-141. doi:  10.4103/1319-3767.41733
    [10] Wani I, Ommid M, Waheed A. Tuberculous abdominal cocoon:original article[J]. Ulus Travma Acil Cerrahi Derg, 2010, 16:508-510. http://www.onacademic.com/detail/journal_1000038968402910_61c5.html
    [11] Gadodia A, Sharma R, Jeyaseelan N. Tuberculous abdominal cocoon[J]. Am J Trop Med Hyg, 2011, 84:1-2.
    [12] 王鲁仲, 齐滋华, 刘亚群, 等.腹茧症的影像及临床诊断[J].中国医学影像技术, 2005, 21:411. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyxyxjs200503026
    [13] Mordehal J, Klelner A, Martinez N. Peritoneal encapsulation:a rare cause of bowel obst ruction in children[J]. J Pediatr Surg, 2001, 36:1059-1061. doi:  10.1053/jpsu.2001.24746
    [14] Lalloo S, Krishna D, Maharajh J. Abdominal cocoon associated with tubereulous pelvie inflammatory disease[J]. Br J Radiol, 2002, 75:174-176. doi:  10.1259/bjr.75.890.750174
    [15] 杨建芬, 李宁, 黎介寿.原发性腹茧症的诊断与治疗[J].中华外科杂志, 2005, 43:561-563. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhwk200509003
    [16] 江克翔. 9例腹茧症的特点及诊治体会[J].临床医学, 2005, 25:18-19. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=lcyx200511008
    [17] Kirshtein B, Mizrahi S, Sinelnikov I. Abdominal cocoon as a rare cause of small bowel obstruction in an elderly man:report of a case and review of the literature[J]. Indian J Surg, 2011, 73:73-75. doi:  10.1007/s12262-010-0200-7
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