Fei X, Yang HR, Yu PF, Sheng HB, Gu GL. Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction. World J Gastroenterol 2016; 22(20): 4958-4962 [PMID: 27239122 DOI: 10.3748/wjg.v22.i20.4958]
Corresponding Author of This Article
Dr. Guo-Li Gu, Associate Professor, Deputy Director, Department of General Surgery, the Air Force General Hospital, Chinese PLA, No.30, Fucheng Road, Haidian District, Beijing 100142, China. kzggl@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Fei X, Yang HR, Yu PF, Sheng HB, Gu GL. Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction. World J Gastroenterol 2016; 22(20): 4958-4962 [PMID: 27239122 DOI: 10.3748/wjg.v22.i20.4958]
World J Gastroenterol. May 28, 2016; 22(20): 4958-4962 Published online May 28, 2016. doi: 10.3748/wjg.v22.i20.4958
Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction
Xiang Fei, Hai-Rui Yang, Peng-Fei Yu, Guo-Li Gu, Department of General Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China
Hai-Bo Sheng, Department of Urinary Surgery, the Air Force General Hospital, Chinese PLA, Beijing 100142, China
Author contributions: Gu GL designed the research; Gu GL, Yang HR, Sheng HB and Fei X performed the research; Fei X and Yu PF collected and analyzed the data; Gu GL and Fei X wrote the paper; and Gu GL revised the paper.
Supported by Major Projects of Chinese PLA “13th Five-Year Plan” Logistics Research Subject, No. AKJ15J003.
Institutional review board statement: This work has been carried out in accordance with the Declaration of Helsinki (2000) of the World Medical Association. This study was approved ethically by Ethics Committee of the Air Force General Hospital, PLA.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Correspondence to: Dr. Guo-Li Gu, Associate Professor, Deputy Director, Department of General Surgery, the Air Force General Hospital, Chinese PLA, No.30, Fucheng Road, Haidian District, Beijing 100142, China. kzggl@163.com
Telephone: +86-10-66928303 Fax: +86-10-66928303
Received: February 14, 2016 Peer-review started: February 14, 2016 First decision: March 7, 2016 Revised: March 15, 2016 Accepted: April 7, 2016 Article in press: April 7, 2016 Published online: May 28, 2016 Processing time: 95 Days and 14.1 Hours
Core Tip
Core tip: Abdominal cocoon syndrome (ACS) is a rare abdominal disease where a portion or all of the abdominal organs are wrapped in a dense membrane-like fibrous tissue. Intestinal obstruction is the main clinical manifestation of ACS. Because of its rarity and lack of characteristic symptoms, ACS is fairly difficult to diagnose pre-operatively. Surgeons should be aware of this disease when confronted with a case of intestinal obstruction whose abdominal radiography shows intestinal loop aggregation cluster. Accompanying cryptorchidism is possible, and a careful physical examination and operative exploration for the undescended testicle should be performed. Postoperative care and dietary guidance are very important to the rehabilitation of ACS patients. Postoperative re-adhesion and early postoperative inflammatory ileus easily occur after extensive enterolysis.
