Open AccessAbdominal cocoon sign: unusual cause of intestinal obstruction
Author(s) -
Shuang Liang,
Jiang-He Cui,
Lianxi Hu
Publication year - 2021
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2021.8057/2021
Subject(s) - medicine , abdomen , abdominal distension , distension , mesentery , abdominal pain , defecation , lumen (anatomy) , emergency department , computed tomography , surgery , radiology , psychiatry
A 46-year-old male patient came to the gastroenterology department with recurrent abdominal pain, distension, and delayed defecation. Also, three bowel obstructions had occurred within six months. He presented to his local emergency department and received intestinal dredging and antibiotic treatment. Computed tomography of the abdomen showed local dilation of the small bowel in the middle and lower abdomen, with contents visible in the lumen of the bowel. The bowels were surrounded by multiple fibrous, cable-like envelopments and thickened mesentery, as though in a cocoon.