Managing abdominal cocoon syndrome complicated by intestinal necrosis and unexpected amelioration of depression after surgery: a case report.

Autor: Zhang, Judong, Hsieh, Yifang, Zheng, Kunming, Xu, Jing
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Zdroj: Journal of Medical Case Reports; 7/6/2024, Vol. 18 Issue 1, p1-6, 6p
Abstrakt: Background: Abdominal cocoon is a very uncommon yet dangerous cause of intestinal obstruction. Case presentation: We present a case of a 62-year-old Asian male patient with a history of depression who exhibited an idiopathic abdominal cocoon complicated by necrosis. Upon laparotomy investigation, nearly the entire small intestine was enveloped in a thick membrane resembling a cocoon, and it was discovered that he lacked a greater omentum. The patient recovered well and was discharged on an oral diet on the 20th day following surgery. During the 3-month follow-up, the patient was asymptomatic, even gaining 10 kg in weight, and noted that his depression had improved. Conclusions: Small bowel obstruction presents with nonspecific symptoms, posing challenges in differential diagnosis. Contrast-enhanced computed tomography is recommended since it facilitates precise preoperative assessment, optimizing surgical planning and reducing postoperative complications. Remarkably, cessation of antidepressant medication post-surgery hints at a potential correlation between omental deficit, gut microbiota alterations, and depressive symptoms. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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