Abdominal cocoon syndrome: a case report
<p dir="ltr">Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction characterized by the encasement of the small intestine in a fibrocollagenous membrane, making preoperative diagnosis challenging. We present the case of a 15-year-old male with acute intestinal obs...
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2025
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| Summary: | <p dir="ltr">Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction characterized by the encasement of the small intestine in a fibrocollagenous membrane, making preoperative diagnosis challenging. We present the case of a 15-year-old male with acute intestinal obstruction, where a contrast-enhanced computed tomography scan revealed a pathognomonic cocoon-like structure and concurrent gut malrotation. The diagnosis was confirmed intraoperatively, and management involved membrane excision, adhesiolysis, and a simple appendectomy for a secondarily involved appendix. This case is clinically significant for demonstrating tailored intraoperative decision-making; the appendicular involvement was correctly identified as a secondary consequence of the cocoon’s chronic inflammation, thus avoiding an unnecessary hemicolectomy. This report underscores ACS as a critical differential diagnosis for intestinal obstruction in young males, particularly in tropical regions, and highlights that early, pathology-guided surgical intervention is essential for favorable outcomes.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Surgical Case Reports<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1093/jscr/rjaf696" target="_blank">https://dx.doi.org/10.1093/jscr/rjaf696</a></p> |
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