Tuberculous Abdominal Cocoon
نویسندگان
چکیده
A 22-year-old male patient presented with the complaints of upper abdominal colicky pain, intermittent bilious vomiting, and abdominal distension of 3-month duration. There was no history of peritonitis, abdominal surgery, or long-term medication. Clinical examination was unremarkable. Routine laboratory investigations revealed hemoglobin of 11 gm/dL, erythrocyte sedimentation rate (ESR) of 80 min the first hour and normal leukocyte count, platelets, electrolytes, renal, and liver function tests. Chest and abdominal radiograph were normal. Clinical diagnosis of subacute intestinal obstruction was made. Barium meal follow through (BMFT) revealed adherent small bowel loops with delayed transit time ( Figure 1 ). Mucosal pattern and illeoceacal junction were normal. Multi-detector computed tomography (MDCT) of the abdomen showed a 3-mm-thick membrane encasing the small bowel loops and forming a Images in Clinical Tropical Medicine Tuberculous Abdominal Cocoon
منابع مشابه
Abdominal Cocoon Secondary to Meconium Peritonitis in a Neonate: A Case Report
Abdominal cocoon is a complete or partial encasement of intestines and rarely viscera by a fibrocollagenous sac which is usually formed by a nonspecific chronic inflammatory reaction. We report a case of abdominal cocoon in a 2-day-old neonate presenting with intestinal obstruction.
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The abdominal cocoon is a rare cause of intestinal obstruction that is usually diagnosed at the time of laparotomy. It is usually of unknown origin, although at times, it may be seen secondary to a variety of conditions. Tuberculosis is an infrequently implicated cause of abdominal cocoon, and has only occasionally been reported previously in the Literature. This paper presents our experience w...
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BACKGROUND Amongst the numerous causes of intestinal obstruction listed in the literature, sclerosing encapsulating peritonitis also called Abdominal Cocoon (AC) is one of the rarest entities. Its characteristic feature is a thick fibrotic membrane encasing varying lengths of the small and large gut in a cocoon. In India, there is an increasing incidence of tuberculosis, especially in the rural...
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AIM Abdominal cocoon is a rare cause of intestinal obstruction usually diagnosed incidentally at laparotomy. It manifests by forming a membrane that typically encases the small bowel loops, leading to mechanical obstruction. Preoperative diagnosis is difficult. The etiology of this condition is not well understood; however, it is a form of chronic irritation and inflammation. METHOD A 33 year...
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Tuberculous peritonitis is a devastating complication of peritoneal dialysis (PD). Presentations of tuberculous peritonitis range from the common wet ascitic form to the rare fibroadhesive form, which is clinically indistinguishable from encapsulating peritoneal sclerosis. We describe a 76-year-old man on continuous ambulatory PD for three months developing wet ascitic form of tuberculous per...
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