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Abdominalt cocoon-syndrom hos en otteårig pige gav tyndtarmsileus og tyndtarmsnekrose
Engelsk titel: Abdominal cocoon syndrome in an eigth-year-old girl caused acute bowel obstruction Läs online Författare: Tolstrup, Johan ; Laksáfoss Lauritsen, Morten Språk: Dan Antal referenser: 3 Dokumenttyp: Fallbeskrivning UI-nummer: 18040395

Tidskrift

Ugeskrift for Laeger 2018;180(8)711-3 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

This case report describes an eight-year-old girl who was admitted under the suspicion of gastroenteritis. The physical examination revealed symptoms of acute bowel obstruction, which was confirmed by abdominal CT scan. Explorative laparotomy showed a fibrotic membrane encapsulating the small intestine causing obstruction and ischaemia, and the perioperative diagnosis was abdominal cocoon syndrome. Two metres of the small intestine, excessive peritoneal membrane and the appendix was resected and an ileostomy was performed. The patient recovered with antibiotics, fluid therapy and parenteral nutrition.