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Unusual cause of mechanical ileus: abdominal cocoon syndrome

Laurens J Ceulemans, Nathalie P Deferm, Sébastien Deferm, Robin A Willaert, Julie T Deferm and Filip Vanhoenacker (UGent)
(2016) JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY. 100(1).
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Abstract
A 38-year-old black male patient was admitted with diarrhea and nausea over two days and aggravating pain in the meso- and epigastium that resolved after urination. He had no surgical history and only an episode of pulmonary tuberculosis five years earlier, for which he was properly treated. Physical examination revealed a tender and distended abdomen with clangorous sounds. His temperature was 36.1°C. Routine laboratory blood analyses were normal. An abdominal ultrasound revealed diffuse distention of the small intestine. A computed tomography (CT) scan showed a conglomerate of dilated small bowel loops in the meso- and hypogastrium, suggestive for a supravesical mechanical small bowel obstruction. Peritoneal thickening was seen in the right epigastrium (Figure A, white arrow). An explorative laparoscopy revealed a whitish, thickened membrane encapsulating the small bowels as a ‘cocoon’ (Figure B). Extensive adhesiolysis released an intestinal kinking in the lower abdomen, just above the bladder. No resection was needed. Histopathology of the membrane showed fibrocollagenous tissue with mixed inflammatory infiltrate.

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MLA
Ceulemans, Laurens J., et al. “Unusual Cause of Mechanical Ileus: Abdominal Cocoon Syndrome.” JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY, vol. 100, no. 1, 2016, doi:10.5334/jbr-btr.1062.
APA
Ceulemans, L. J., Deferm, N. P., Deferm, S., Willaert, R. A., Deferm, J. T., & Vanhoenacker, F. (2016). Unusual cause of mechanical ileus: abdominal cocoon syndrome. https://doi.org/10.5334/jbr-btr.1062
Chicago author-date
Ceulemans, Laurens J, Nathalie P Deferm, Sébastien Deferm, Robin A Willaert, Julie T Deferm, and Filip Vanhoenacker. 2016. “Unusual Cause of Mechanical Ileus: Abdominal Cocoon Syndrome.” JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY. https://doi.org/10.5334/jbr-btr.1062.
Chicago author-date (all authors)
Ceulemans, Laurens J, Nathalie P Deferm, Sébastien Deferm, Robin A Willaert, Julie T Deferm, and Filip Vanhoenacker. 2016. “Unusual Cause of Mechanical Ileus: Abdominal Cocoon Syndrome.” JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY. doi:10.5334/jbr-btr.1062.
Vancouver
1.
Ceulemans LJ, Deferm NP, Deferm S, Willaert RA, Deferm JT, Vanhoenacker F. Unusual cause of mechanical ileus: abdominal cocoon syndrome. Vol. 100, JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY. 2016.
IEEE
[1]
L. J. Ceulemans, N. P. Deferm, S. Deferm, R. A. Willaert, J. T. Deferm, and F. Vanhoenacker, “Unusual cause of mechanical ileus: abdominal cocoon syndrome,” JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY, vol. 100, no. 1. 2016.
@misc{7091327,
  abstract     = {{A 38-year-old black male patient was admitted with diarrhea and nausea over two days and aggravating pain in the meso- and epigastium that resolved after urination. He had no surgical history and only an episode of pulmonary tuberculosis five years earlier, for which he was properly treated. Physical examination revealed a tender and distended abdomen with clangorous sounds. His temperature was 36.1°C. Routine laboratory blood analyses were normal. An abdominal ultrasound revealed diffuse distention of the small intestine. A computed tomography (CT) scan showed a conglomerate of dilated small bowel loops in the meso- and hypogastrium, suggestive for a supravesical mechanical small bowel obstruction. Peritoneal thickening was seen in the right epigastrium (Figure A, white arrow). An explorative laparoscopy revealed a whitish, thickened membrane encapsulating the small bowels as a ‘cocoon’ (Figure B). Extensive adhesiolysis released an intestinal kinking in the lower abdomen, just above the bladder. No resection was needed. Histopathology of the membrane showed fibrocollagenous tissue with mixed inflammatory infiltrate.}},
  articleno    = {{36}},
  author       = {{Ceulemans, Laurens J and Deferm, Nathalie P and Deferm, Sébastien and Willaert, Robin A and Deferm, Julie T and Vanhoenacker, Filip}},
  issn         = {{1780-2393}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{2}},
  series       = {{JOURNAL OF THE BELGIAN SOCIETY OF RADIOLOGY}},
  title        = {{Unusual cause of mechanical ileus: abdominal cocoon syndrome}},
  url          = {{http://doi.org/10.5334/jbr-btr.1062}},
  volume       = {{100}},
  year         = {{2016}},
}
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