TY  - JOUR
TI  - Abdominal cocoon syndrome: A rare cause of acute abdomen syndrome
AB  - BACKGROUND: A rare cause of acute abdomen or intestinal obstruction, the abdominal cocoon syndrome is also described in theliterature as sclerosing peritonitis or sclerosing encapsulating peritonitis. Abdominal cocoon is characterized by the total or partialwrapping of the abdominal organs by a fibrous membrane. Although it is usually observed in young women, the etiology is unknown.The diagnosis is usually made during laparotomy. In this case series, we aimed to present seven patients diagnosed with abdominalcocoon syndrome during operation.METHODS: The records of patients who underwent laparotomy for abdominal pain and/or intestinal obstruction in our hospitaland diagnosed as abdominal cocoon during operation between January 2012 and November 2018 were retrospectively reviewed. Thedemographic characteristics of the patients, etiologic factors, surgical procedures, operative findings and follow-up of the patientswere recorded.RESULTS: Four out of seven patients who were operated for abdominal cocoon were male and 3 of them were female. The medianage of patients was 61 (57–63) years in male and 39.6 (28–49) years in female. Six of the patients were operated in emergency conditions with the diagnosis of an acute abdomen or ileus. One of the patients was operated with the diagnosis of an intra-abdominalmass in elective conditions. In five out of seven patients, all of the small intestines were wrapped with a fibrous collagen capsule, whiletwo of the patient intestines were partially wrapped with a fibrous collagen capsule. Four of the patients had no underlying disease,while one of the patients had Familial Mediterranean Fever (FMF), one had Endometriosis and one had beta-blocker medication. Onepatient who had small bowel necrosis and septic peritonitis were observed during the operation and died post operative 6th days. Postoperative complications were not observed in the follow-up of other patients and reoperation was not required due to recurrence.CONCLUSION: Abdominal cocoon is a condition that is usually diagnosed during operation in patients that were operated for reasons, such as the acute abdomen or intestinal obstruction. When the diagnose delayed, death can be seen due to small bowel necrosisand septic complications. High clinical suspicion and radiological imaging are important in the preoperative diagnosis. Treatment isrequired adhesiolysis and excision of the fibrous membranes.
AU  - Colak, Sukru
AU  - BEKTAŞ, Hasan
DO  - 10.14744/tjtes.2019.48380
PY  - 2019
JO  - Ulusal Travma ve Acil Cerrahi Dergisi
VL  - 25
IS  - 6
SN  - 1306-696X
SP  - 575
EP  - 579
DB  - TRDizin
UR  - http://search/yayin/detay/343180
ER  -