Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature

• Published in: BMC surgery Vol. 20; no. 1; pp. 124 - 5
• Main Authors: Zhou, Hui, Xu, Jinling, Xie, Xingwang, Han, Jiantao
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 09.06.2020; BioMed Central; BMC
• Subjects: Abdomen; Abdomen - abnormalities; Abdomen - surgery; Abdominal diseases; Ascites; Case Report; Case reports; Chronic illnesses; Cocoon abdomen; Collagen; Colon; Colon - abnormalities; Colon - surgery; Colon malrotation; Congenital diseases; Diagnosis; Digestive System Abnormalities - diagnosis; Disease; Fistula; Genetic disorders; Histopathology; Humans; Infections; Intestinal obstruction; Intestinal Obstruction - surgery; Intestinal Volvulus - diagnosis; Intestine; Intestine, Small - surgery; Laparotomy; Laparotomy - methods; Literature reviews; Male; Medical diagnosis; Medical treatment; Middle Aged; Pain; Patients; Peritonitis; Radiography; Radiology; Signs and symptoms; Small intestine; Surgery; Treatment; Tuberculosis; Vomiting; Colon malrotation; Intestinal obstruction; Treatment; Cocoon abdomen; Diagnosis
• ISSN: 1471-2482; 1471-2482
• DOI: 10.1186/s12893-020-00788-7

Cocoon abdomen is a relatively rare abdominal disease characterized by the total or partial encasement of the small intestinal by a dense fibro-collagenous membrane. We reported an unusual case of idiopathic cocoon abdomen with congenital colon malrotation. Laparotomy and sac release were performed on the patient. The patient was no recurrence 6 months after operation. A literature review was also performed. Preoperative diagnosis of abdominal cocoon is difficult. A careful history, physical examination and appropriate radiology may be helpful in making a definitive diagnosis. If conservative treatment can't relieve symptoms effectively, surgery is currently considered to be important in the management of this disease.