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Case Report
The abdominal cocoon: A management dilemma
1 Surgical registrar, Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia
2 Senior Surgical Registrar, Department of General Surgery
3 Royal Darwin Hospital, Northern Territory, Australia
4 Peter macCullum hospital, Melbourne, Australia
5 Monash Health, Melbourne, Australia
Address correspondence to:
Amin Tanveer
Department of General Surgery, Peninsula Health PO Box 52, 2 Hastings Road, Frankston, Victoria, Australia, Frankston, Melbourne, Victoria 3199,
Australia
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Article ID: 100053Z06AT2018
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How to cite this article
Tanveer A, Arachchi A, Kalgutkar S, Lynch C, Suhardja T. The abdominal cocoon: A management dilemma. Case Rep Int 2018;7:100053Z06AT2018.ABSTRACT
Abdominal cocoon is a rare entity with no known aetiology and is a clinical curiosity in the surgical field, and a management dilemma for surgeons. Treatment may include excision of the accessory peritoneal sac with lysis of the inter-loop adhesions. Bowel resection is unnecessary unless a nonviable segment is found. However, if there are no signs of acute abdominal symptoms after diagnosing abdominal cocoon syndrome pre-operatively, surgery is unnecessary. We presenting a case of a 47-year-old male who had laparotomy noted an entirely frozen abdomen which was depicted as a cocoon. The stomach was only identified due to feeling the position of the NGT, no other anatomy was delineated. A peritoneal biopsy was taken prior to closure. Post operatively he was given parenteral and trickle enteral nutritional support and was discharged home with PEG gastrostomy for feeding.
Keywords: Abdominal cocoon, Idiopathic encapsulating peritonitis, Sclerosing encapsulating peritonitis
SUPPORTING INFORMATION
Author Contributions
Amin Tanveer - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Asiri Arachchi - Analysis of data, Interpretation of data, Final approval of the version to be published
Sanjay Kalgutkar - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Craig Lynch - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Thomas Suhardja - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Amin Tanveer et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
