A Study of a Diagnostic Dilemma: Abdominal Cocoon
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Abdominal tuberculosis is an important cause of recurrent subacute intestinal obstruction. Abdominal cocoon is one of the rare presentations which is usually diagnosed intraoperatively. Study aimed to find incidence of abdominal cocoon secondary to abdominal koch’s in endemic area. Material and methods: In the prospective descriptive study conducted from December 2014 to August 16 over a period of 20 months with a follow up of 6 to 12 months and all patients suspected of having isolated abdominal tuberculosis were included. Results: Of all cases of abdominal Koch’s almost 53% cases needed operative intervention, 9.26% of these presented with abdominal cocoon. 80% of the cocoon cases were detected preoperatively on CECT scanning of the abdomen. Conclusion: Abdominal cocoon is not that uncommon especially in an endemic region. A high degree of suspicion can help identify cocoon formations early. Conservative surgery is the best way forward with abdominal cocoon. Greater awareness among practitioners in endemic region will lead to early detection and lower morbidity for the patients.
Authors and Affiliations
Mamta Singla, Madhavan Iyengar, Niket Attarde, Md. Iqbal Zea, Sanjeev Singla, Sundeep Singla
Keywords
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