Asian Journal of Case Reports in Surgery

Abdominal Cocooning as a Cause of Acute Intestinal Obstruction: A Case Report and Literature Review

Sharath Sekar *

Department of General Surgery, Bharati Vidyapeeth Medical College Hospital, Sangli, India.

Madhura. M. Killedar

Department of General Surgery, Bharati Vidyapeeth Medical College Hospital, Sangli, India.

Rohit Desai

Department of General Surgery, Bharati Vidyapeeth Medical College Hospital, Sangli, India.

*Author to whom correspondence should be addressed.

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Abstract

Abdominal cocooning syndrome-related acute intestinal blockage without any underlying co-morbidities is reported in this instance. One month of abdominal pain was the main complaint of a forty-year-old man who came to the emergency room. Since two days ago, he has also complained of spells of vomiting. Surgery was scheduled after a CT scan of the abdomen and pelvis. Plans called for an exploratory laparotomy. Histopathology examined the excised sac and found fibrocollagen exudates with lymphocyte infiltration and plasma cell infiltration. The sac had a fibrous band that primarily covered the distal ileum and a little portion of the colon. Adhesions were removed and the bowel's patency was assessed. No problems arose following the procedure.

Keywords: Abdominal cocooning syndrome, acute intestinal obstruction, computerized tomography, emergency laparotomy, fibrocollagenous tissue

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