Abdominal cocoon in a young man

摘要： BACKGROUND:Intestinal obstruction remains a common problem encountered in the surgical emergency,and usually occurs secondary to adhesions,obstructed herniae or tubercular strictures. However,at times,rare causes of obstruction can also be encountered.METHODS:A 24-year-old male patient presented with recurrent episodes of intestinal obstruction that was found to be secondary to an abdominal cocoon on laparotomy.RESULTS:The patient underwent adhesiolysis of the cocoon,and remains well on a follow-up. Histopathological report of the cocoon wall revealed f ibrocollagenic tissues with a mixed inf lammatory inf iltrate,without any evidence of tuberculosis.CONCLUSIONS:Abdominal cocoon can be a rare cause of intestinal obstruction in male patients. Adhesiolysis of the cocoon membrane releases the obstruction and gives good results. （共3頁）