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Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome

Abdominal cocoon syndrome (ACS) is a rare condition characterized by partial or complete encasement of small intestine by a thick fibro-collagenous membrane. A 65-year-old man presented to the surgical department with left inguinal. He underwent laparoscopic transabdominal preperitoneal inguinal her...

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Autores principales: Park, Geon Hi, Lee, Byoung Chul, Hyun, Dong woo, Choi, Jung Bum, Park, Young Mok, Jung, Hyuk Jae, Jo, Hong Jae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917468/
https://www.ncbi.nlm.nih.gov/pubmed/31867099
http://dx.doi.org/10.1093/jscr/rjz370
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author Park, Geon Hi
Lee, Byoung Chul
Hyun, Dong woo
Choi, Jung Bum
Park, Young Mok
Jung, Hyuk Jae
Jo, Hong Jae
author_facet Park, Geon Hi
Lee, Byoung Chul
Hyun, Dong woo
Choi, Jung Bum
Park, Young Mok
Jung, Hyuk Jae
Jo, Hong Jae
author_sort Park, Geon Hi
collection PubMed
description Abdominal cocoon syndrome (ACS) is a rare condition characterized by partial or complete encasement of small intestine by a thick fibro-collagenous membrane. A 65-year-old man presented to the surgical department with left inguinal. He underwent laparoscopic transabdominal preperitoneal inguinal hernia. When we inserted a trocar into the peritoneal cavity, the small intestine was injured and repaired immediately. We identified a fibrotic membrane covering the small intestine, which was found as ACS. Two weeks later after discharge, he presented to the emergency department with mechanical intestinal obstruction. Conservative treatment had no effect on the patient and membrane excision, adhesiolysis and small intestine resection with anastomosis were performed. Unfortunately, the patient was hospitalized for a long time with bowel leakage and discharged on postoperative day 48. The preoperative diagnosis is quite challenging and most cases are diagnosed intraoperatively. When finding the ACS during the operation, careful attention should be needed.
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spelling pubmed-69174682019-12-20 Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome Park, Geon Hi Lee, Byoung Chul Hyun, Dong woo Choi, Jung Bum Park, Young Mok Jung, Hyuk Jae Jo, Hong Jae J Surg Case Rep Case Report Abdominal cocoon syndrome (ACS) is a rare condition characterized by partial or complete encasement of small intestine by a thick fibro-collagenous membrane. A 65-year-old man presented to the surgical department with left inguinal. He underwent laparoscopic transabdominal preperitoneal inguinal hernia. When we inserted a trocar into the peritoneal cavity, the small intestine was injured and repaired immediately. We identified a fibrotic membrane covering the small intestine, which was found as ACS. Two weeks later after discharge, he presented to the emergency department with mechanical intestinal obstruction. Conservative treatment had no effect on the patient and membrane excision, adhesiolysis and small intestine resection with anastomosis were performed. Unfortunately, the patient was hospitalized for a long time with bowel leakage and discharged on postoperative day 48. The preoperative diagnosis is quite challenging and most cases are diagnosed intraoperatively. When finding the ACS during the operation, careful attention should be needed. Oxford University Press 2019-12-17 /pmc/articles/PMC6917468/ /pubmed/31867099 http://dx.doi.org/10.1093/jscr/rjz370 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Park, Geon Hi
Lee, Byoung Chul
Hyun, Dong woo
Choi, Jung Bum
Park, Young Mok
Jung, Hyuk Jae
Jo, Hong Jae
Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title_full Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title_fullStr Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title_full_unstemmed Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title_short Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
title_sort mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917468/
https://www.ncbi.nlm.nih.gov/pubmed/31867099
http://dx.doi.org/10.1093/jscr/rjz370
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