Abdominal cocoon sign: an unusual cause of intestinal obstruction

Rev Esp Enferm Dig. 2021 Oct;113(10):725-726. doi: 10.17235/reed.2021.8057/2021.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging
  • Abdominal Pain / etiology
  • Humans
  • Intestinal Obstruction* / diagnostic imaging
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Intestine, Small
  • Male
  • Mesentery / diagnostic imaging
  • Middle Aged
  • Tomography, X-Ray Computed