Primary abdominal cocoon syndrome manifesting with Chilaiditi syndrome and intestinal obstruction: A case report.

Autor: Tajaddini A; Department of Surgery Shiraz University of Medical Sciences Shiraz Iran., Fallahi M; Student Research Committee Jahrom University of Medical Sciences Jahrom Iran., Haghshenas H; Student Research Committee Jahrom University of Medical Sciences Jahrom Iran., Nourmohammadi SS; Student Research Committee Shiraz University of Medical Sciences Shiraz Iran., Ghahramani L; Colorectal Research Center Shiraz University of Medical Sciences Shiraz Iran., Shahriarirad R; School of Medicine Shiraz University of Medical Sciences Shiraz Iran.; Thoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz Iran.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2023 Dec 27; Vol. 12 (1), pp. e8363. Date of Electronic Publication: 2023 Dec 27 (Print Publication: 2024).
DOI: 10.1002/ccr3.8363
Abstrakt: Key Clinical Message: Abdominal cocoon syndrome and Chilaiditi syndrome are rare etiologies of bowel obstruction which have to be considered in patients with obstructive symptoms. Patients can profit from surgical management rather than non-surgical approach.
Abstract: Encapsulating peritoneal sclerosis or abdominal cocoon syndrome (ACS) is an uncommon cause of intestinal obstructions associated with encapsulation of the small bowel by a fibro collagenous sac. Clinical presentations of ACS are unspecific and most patients are diagnosed intraoperatively. Moreover, Chilaiditi syndrome is another rare cause of bowel obstruction defined by interposition of colon and liver. There is no reported relation between these two conditions and surgical intervention is the suggested approach for severe bowel obstruction following them individually. We present a case with both conditions and describe our approach. A 47-year-old male presented with complaints of colic abdominal pain and distention, nausea and several attacks of bilious and nonbilious vomiting, anorexia, and constipation in the last 10 days before his admission. Laboratory data were normal and abdominal X-ray showed large dilation at the distal part of the bowel without air fluid level. The patient underwent explorative laparotomy and a mass-like lesion containing necrotic bowel and a whitish spleen accompanied by a complete anterior-rotated liver was found. The encapsulated bowel and the spleen were resected followed by the complete resolution of symptoms in the patient. The intestinal obstruction caused by ACS is mostly approached by surgery to prevent the fatal sequela of this condition.
Competing Interests: None to declare.
(© 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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