2000 Volume 36 Issue 7 Pages 1090-1095
A 14-year-old girl was transferred to our hospital because of primary ileus. She had been treated for osteosarcoma of the fourth rib for 1 year. She had no history of abdominal surgery. An abdominal X-ray film and a CT scan revealed the dilated small bowel with air-fluid level. An emergency laparotomy was performed revealing a white, shiny mass 7 cm oral from the terminal ileum. Decortication improved the small bowel obstruction. Operative diagnosis was abdominal cocoon. Histopathological study confirmed fibrous tissue without any other malignancy or inflammation. Postoperative course was uneventful. Abdominal cocoon is a rare entity in abdominal surgeries. Emergency operation is warranted in the case of primary ileus-abdominal cocoon-in the pediatric population.
