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28 February 2022: Articles

Hernioscopy Revealing Rare Abdominal Cocoon Syndrome in an Elderly Patient: A Novel Technique for Abdominal Pathology

Management of emergency care, Rare coexistence of disease or pathology

Shaohan Wu * , Xiaofang Sun * , Yawei Yu B , Jing Wang A*

DOI: 10.12659/AJCR.934617

Am J Case Rep 2022; 23:e934617

Figure 1. (A) A giant strangulated lump in the right groin within the blue line. (B) The abdominal computer tomography depicted a large lump in the right groin. (C) A mass of small intestine (the terminal ileum) was stuck together. (D) Laparoscopic exploration was performed using hernioscopy. a: lens barrel; b: 10-mm trocar; c: open hernia sac. (E, F) All the bowel and mesentery were almost totally wrapped by a fibrocollagenous and cocoon-like membrane. (G) The left inguinal hernia. (H) Drainage tubes were used to prevent infection. (I, J) Postoperative pathology of the small bowel wall and its fibrous membrane. a: fibrocyte proliferation and collagen fiber enrichment; b: serosal layer; c: muscular layer; d: the submucosa. Hematoxylin-eosin staining. (K) The abdominal computer tomography on the 5th day after operation. (L) Follow-up after 6 months. Bilateral inguinal hernia did not recur.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923