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A RARE CAUSE OF RECURRENT INTESTINAL OBSTRUCTION: ABDOMINAL COCOON

KASIM ÇAĞLAYAN, TAMER SAĞIROĞLU, NURTEN TÜRKEL KÜÇÜKMETİN, SİBEL ÖZKAN GÜRDAL, HADİ SASANİ

Turkish Journal of Colorectal Disease - 2022;32(2):150-153

Tekirdağ Namık Kemal University Faculty of Medicine, Department of Surgery, Tekirdağ, Turkey

 

Abdominal cocoon (AC) is a rare disease in which the small intestine is completely or partially surrounded by a thick fibrous membrane. A 56-year-old male patient was admitted to the hospital with complaints of abdominal pain, nausea and vomiting. It was observed that the small intestine segments from the Treitz ligament to the cecum were surrounded by a thick, fibrous peritoneum in the patient who was operated due to intestinal obstruction. The peritoneal sac was excised. Adhesions between the small intestine loops were separated and the small intestines were completely freed. The patient, whose complaints regressed in the postoperative period, was discharged on the seventh day. AC is a rare disease that causes intestinal obstruction. Preoperative diagnosis is based on a high index of suspicion along with imaging modalities because of clinically nonspecific findings.