Original Article
Diagnosis and treatment of abdominal cocoon: experience in 26 cases
Li Sheng, Liu Xianyan, Wen Bo, Yao Wei, Ma Kanggui, Tan Weize, Liu Senlin
Published 2020-04-25
Cite as Chin J Gen Surg, 2020, 35(4): 300-303. DOI: 10.3760/cma.j.cn113855-20190818-00477
Abstract
ObjectiveTo investigate the diagnosis and treatment of abdominal cocoon (AC).
MethodsThe clinical manifestations, findings during surgery, treatments, and follow-up results of 26 cases of AC were retrospectively studied from Jan 2001 to Jan 2019.
ResultsAll of 26 cases were diagnosed as AC definitely by laparotomy, and were categorized into 2 types: type Ⅰ is of absence of second enterocoelia (18 cases, 69%) while type Ⅱ shows second enterocoelia (8cases, 31%). Twenty cases (12 type Ⅰ, 8 type Ⅱ) underwent membrane excision and careful enterodialysis to release the small intestine entirely or partially, while the other 6 cases (all were type Ⅰ) did not. All the patients recovered smoothly.
ConclusionsAC can be categorized into two types, Surgery is recommended for type Ⅱ and part of type Ⅰ with severe complications.
Key words:
Abdominal cocoon; Diagnosis; Operative procedure, surgical
Contributor Information
Li Sheng
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China
Liu Xianyan
Department of Anesthesiology, Central Hospital of Shaoyang, Shaoyang 422000, China
Wen Bo
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China
Yao Wei
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China
Ma Kanggui
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China
Tan Weize
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China
Liu Senlin
Department of Gastrointestinal Surgery, Central Hospital of Shaoyang, Shaoyang 422000, China