Department of Gerontology, The First Affiliated Hospital, College of Medicine, Zhejiang University, ChinaFulltext PDF
Abdominal cocoon syndrome is a rare condition characterized by the encasement of small bowel loops by thick fibrous scar tissue. Only a few cases have been reported in elderly patients. We present a case of a 70-year-old male, presenting to our department with recurrent abdominal pain and bloody stool for 2 years. The patient has given informed consent to the published case. His significant past history included inguinal hernia repair and prostate hyperplasia resection. Over the past two years, the patient had no obvious causes of recurrent paroxysmal abdominal pain, accompanied by cessation of anal exhaust and defecation, nausea and abdominal distension. The colonoscopy revealed colonic polyps. Incomplete intestinal obstruction. Multi-disciplinary consultation was organized. Exploratory laparotomy was performed in gastrointestinal surgery. The fibrous membrane was excised, and the bowel segments were loosened. The symptoms of abdominal pain and distention were relieved gradually without nausea and vomiting, and the patient was discharged from the hospital one week after the operation when he could tolerate oral soft food. In clinical diagnosis of abdominal pain and obstruction in the elderly, do not miss such rare special circumstances his condition may be a rare form of small bowel obstruction diagnosed during surgery in elderly such as AC, and pay attention to the common and common symptoms after operation such as infection of incision.
Xinxiu Z. An Elderly Patient with Abdominal Pain were Misdiagnosed as Volvulus, Tuberculous Peritonitis, Pyloric Obstruction, and Finally Diagnosed as Abdominal Cocoon: A Case Report. Clin Surg. 2022; 7: 3466..