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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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2025
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| _version_ | 1864513524529627136 |
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| author | Fazeela Bibi (22916561) |
| author2 | Muhammad Ibrahim (120317) Uzair Khan (22997677) Shafiq Ur Rahman (10067252) Khalil El Abdi (22997680) Muhammad Aimal Khan (22997683) Sara Khizar (22997686) Usama Khan (8729124) Javed Iqbal (2121922) Umama Alam (21761273) |
| author2_role | author author author author author author author author author |
| author_facet | Fazeela Bibi (22916561) Muhammad Ibrahim (120317) Uzair Khan (22997677) Shafiq Ur Rahman (10067252) Khalil El Abdi (22997680) Muhammad Aimal Khan (22997683) Sara Khizar (22997686) Usama Khan (8729124) Javed Iqbal (2121922) Umama Alam (21761273) |
| author_role | author |
| dc.creator.none.fl_str_mv | Fazeela Bibi (22916561) Muhammad Ibrahim (120317) Uzair Khan (22997677) Shafiq Ur Rahman (10067252) Khalil El Abdi (22997680) Muhammad Aimal Khan (22997683) Sara Khizar (22997686) Usama Khan (8729124) Javed Iqbal (2121922) Umama Alam (21761273) |
| dc.date.none.fl_str_mv | 2025-09-10T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1093/jscr/rjaf696 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Abdominal_cocoon_syndrome_a_case_report/31056811 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics abdominal cocoon syndrome sclerosing encapsulated peritonitis intestinal obstruction |
| dc.title.none.fl_str_mv | Abdominal cocoon syndrome: a case report |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <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> |
| eu_rights_str_mv | openAccess |
| id | Manara2_9633d34f1ff6ac7f06da720689ae3169 |
| identifier_str_mv | 10.1093/jscr/rjaf696 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/31056811 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Abdominal cocoon syndrome: a case reportFazeela Bibi (22916561)Muhammad Ibrahim (120317)Uzair Khan (22997677)Shafiq Ur Rahman (10067252)Khalil El Abdi (22997680)Muhammad Aimal Khan (22997683)Sara Khizar (22997686)Usama Khan (8729124)Javed Iqbal (2121922)Umama Alam (21761273)Biomedical and clinical sciencesClinical sciencesPaediatricsabdominal cocoon syndromesclerosing encapsulated peritonitisintestinal obstruction<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>2025-09-10T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1093/jscr/rjaf696https://figshare.com/articles/journal_contribution/Abdominal_cocoon_syndrome_a_case_report/31056811CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/310568112025-09-10T09:00:00Z |
| spellingShingle | Abdominal cocoon syndrome: a case report Fazeela Bibi (22916561) Biomedical and clinical sciences Clinical sciences Paediatrics abdominal cocoon syndrome sclerosing encapsulated peritonitis intestinal obstruction |
| status_str | publishedVersion |
| title | Abdominal cocoon syndrome: a case report |
| title_full | Abdominal cocoon syndrome: a case report |
| title_fullStr | Abdominal cocoon syndrome: a case report |
| title_full_unstemmed | Abdominal cocoon syndrome: a case report |
| title_short | Abdominal cocoon syndrome: a case report |
| title_sort | Abdominal cocoon syndrome: a case report |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics abdominal cocoon syndrome sclerosing encapsulated peritonitis intestinal obstruction |