Diagnosis and Treatment of Abdominal Cocoon (Report of 9 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

段小亮 , 李晓霞

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Keywords：

腹茧症; 肠梗阻; 腹膜疾病; 诊断; 治疗

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目的　提高对腹茧症的认识和临床诊治水平。
方法　回顾性分析我院1995～2008年期间收治的9例腹茧症患者的临床资料。
结果　9例患者中5例以急、慢性肠梗阻症状为主要表现，结合CT、彩超、腹部X线平片等检查，2例术前诊断为腹茧症。9例患者经手术治疗后均获得成功。8例得到随访，随访时间6～84个月,平均(26±13)个月，2例分别于术后3及10个月出现肠梗阻，经保守治疗后治愈，其余无相关手术并发症发生。
结论　患者反复有肠梗阻表现而梗阻原因不明或出现腹部包块，需结合合理的影像学检查考虑腹茧症的可能；手术是本病诊断和治疗的有效手段。

Citation： 段小亮,李晓霞. Diagnosis and Treatment of Abdominal Cocoon (Report of 9 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(4): 751-752. doi: Copy

1.	Foo KT, Ng KC, Rauff A, et al. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon [Ｊ]. Br J Surg, 1978; 65(6): 427-430.
2.	Mordehai J, Kirshtein O, Kirshtein B， et al. Peritoneal encapsulation: a rare cause of bowel obstruction in children [Ｊ]. Pediatr Surg, 2001； 36(7): 1059-1061.
3.	邱法波，张圣林，张顺，等. 中国腹茧症14年流行病学特征 [Ｊ]. 世界华人消化杂志， 2008； 16(3)： 338-341.
4.	Santos VM, Barbosa ER Jr, Lima SH, et al. Abdominal cocoon associated with endometriosis [Ｊ]. Singapore Med J, 2007; 48(9): e240-e242.
5.	Hirahara I, Kusano E, Yanagiba S, et al. Peritoneal injury by methylglyoxal in peritoneal dialysis [Ｊ]. Perit Dial Int, 2006; 26(3): 380-392.
6.	Kaushik R, Punia RP, Mohan H, et al. Tuberculous abdominal cocoon－a report of 6 cases and review of the literature [Ｊ]. World J Emerg Surg, 2006; 27(1): 18.
7.	Hoff CM. Experimental animal models of encapsulating peritoneal sclerosis [Ｊ]. Perit Dial Int, 2005; 25 Suppl 4: S57-S66.
8.	李宁, 杨建芬, 黎介寿. 原发性腹茧症的诊断与治疗 [Ｊ]. 中华外科杂志， 2005; 43（9）： 561-563.
9.	Kail S, Jahn S, Reimers K, et al. Osteogenic differentiation capacity of cultured peritoneal mesothelium cells (pmc) in vitro-transdifferentiation as a possible explanation for pathological findings in sclerosing encapsulating peritonitis [Ｊ]. Nephrol Dial Transplant, 2003; 18(S4): 469.
10.	Gupta S, Shirahatti RG, Anand J. CT findings of an abdominal cocoon [Ｊ]．AJR Am J Roentgenol, 2004; 183(6): 1658-1660.
11.	朱先进，段建英，王武, 等. 腹茧症的影像诊断 [Ｊ]. 中华放射学杂志， 2007; 41(10)： 1085-1086.
12.	Chew MH, Sophian Hadi I, Chan G, et al. A problem encapsulated: the rare peritoneal encapsulation syndrome [Ｊ]. Singapore Med J, 2006; 47(9): 808-810.
13.	Nakamoto H. Encapsulating peritoneal sclerosis-a clinici-an’s approach to diagnosis and medical treatment [Ｊ]. Perit Dial Int, 2005; 25 Suppl 4: S30-S38.
14.	屠金夫，黄秀芳，朱冠保. 腹茧症203例综合分析 [Ｊ]. 中华胃肠外科杂志, 2006; 9（2）： 133-135.
15.	金志明，尹路，高玉平. 原发性腹茧症合并胃癌一例报告及文献复习 [Ｊ]. 中国实用外科杂志， 2008; 28(2)： 142-143.
16.	Xu P, Chen LH, Li YM, et al. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases [Ｊ]. World J Gastroenterol, 2007; 13(26): 3649-3651.
17.	杨建光, 谢强, 梁建, 等. 腹茧症8 例报道 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(1): 79.
18.	Jordaan A, Williams R, Alderdice J, et al. Nutritional management of patients undergoing surgery following diagnosis with encapsulating peritoneal sclerosis [Ｊ]. Perit Dial Int, 2008; 28(3): 271-276.
19.	朱化强. 腹茧症的外科诊治现状 [Ｊ]. 中国普通外科杂志， 2007; 16（4）： 375-377.

1. Foo KT, Ng KC, Rauff A, et al. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon [Ｊ]. Br J Surg, 1978; 65(6): 427-430.
2. Mordehai J, Kirshtein O, Kirshtein B， et al. Peritoneal encapsulation: a rare cause of bowel obstruction in children [Ｊ]. Pediatr Surg, 2001； 36(7): 1059-1061.
3. 邱法波，张圣林，张顺，等. 中国腹茧症14年流行病学特征 [Ｊ]. 世界华人消化杂志， 2008； 16(3)： 338-341.
4. Santos VM, Barbosa ER Jr, Lima SH, et al. Abdominal cocoon associated with endometriosis [Ｊ]. Singapore Med J, 2007; 48(9): e240-e242.
5. Hirahara I, Kusano E, Yanagiba S, et al. Peritoneal injury by methylglyoxal in peritoneal dialysis [Ｊ]. Perit Dial Int, 2006; 26(3): 380-392.
6. Kaushik R, Punia RP, Mohan H, et al. Tuberculous abdominal cocoon－a report of 6 cases and review of the literature [Ｊ]. World J Emerg Surg, 2006; 27(1): 18.
7. Hoff CM. Experimental animal models of encapsulating peritoneal sclerosis [Ｊ]. Perit Dial Int, 2005; 25 Suppl 4: S57-S66.
8. 李宁, 杨建芬, 黎介寿. 原发性腹茧症的诊断与治疗 [Ｊ]. 中华外科杂志， 2005; 43（9）： 561-563.
9. Kail S, Jahn S, Reimers K, et al. Osteogenic differentiation capacity of cultured peritoneal mesothelium cells (pmc) in vitro-transdifferentiation as a possible explanation for pathological findings in sclerosing encapsulating peritonitis [Ｊ]. Nephrol Dial Transplant, 2003; 18(S4): 469.
10. Gupta S, Shirahatti RG, Anand J. CT findings of an abdominal cocoon [Ｊ]．AJR Am J Roentgenol, 2004; 183(6): 1658-1660.
11. 朱先进，段建英，王武, 等. 腹茧症的影像诊断 [Ｊ]. 中华放射学杂志， 2007; 41(10)： 1085-1086.
12. Chew MH, Sophian Hadi I, Chan G, et al. A problem encapsulated: the rare peritoneal encapsulation syndrome [Ｊ]. Singapore Med J, 2006; 47(9): 808-810.
13. Nakamoto H. Encapsulating peritoneal sclerosis-a clinici-an’s approach to diagnosis and medical treatment [Ｊ]. Perit Dial Int, 2005; 25 Suppl 4: S30-S38.
14. 屠金夫，黄秀芳，朱冠保. 腹茧症203例综合分析 [Ｊ]. 中华胃肠外科杂志, 2006; 9（2）： 133-135.
15. 金志明，尹路，高玉平. 原发性腹茧症合并胃癌一例报告及文献复习 [Ｊ]. 中国实用外科杂志， 2008; 28(2)： 142-143.
16. Xu P, Chen LH, Li YM, et al. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon): a report of 5 cases [Ｊ]. World J Gastroenterol, 2007; 13(26): 3649-3651.
17. 杨建光, 谢强, 梁建, 等. 腹茧症8 例报道 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(1): 79.
18. Jordaan A, Williams R, Alderdice J, et al. Nutritional management of patients undergoing surgery following diagnosis with encapsulating peritoneal sclerosis [Ｊ]. Perit Dial Int, 2008; 28(3): 271-276.
19. 朱化强. 腹茧症的外科诊治现状 [Ｊ]. 中国普通外科杂志， 2007; 16（4）： 375-377.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Abdominal Cocoon (Report of 9 Cases)

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