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中华普通外科学文献(电子版) ›› 2016, Vol. 10 ›› Issue (04) : 311 -314. doi: 10.3877/cma.j.issn.1674-0793.2016.03.020

所属专题: 文献

综述

腹茧症病因及诊治的研究进展
毛旭南1, 徐玉彬1, 张培建1,()   
  1. 1. 225000 扬州大学第二临床医学院普通外科研究室
  • 收稿日期:2016-01-15 出版日期:2016-08-01
  • 通信作者: 张培建
  • 基金资助:
    江苏省扬州市自然科学基金面上资助项目(YZ2014064)

Pathogenesis, diagnosis and treatment progress of abdominal cocoon syndrome

Xunan Mao1, Yubin Xu1, Peijian Zhang1,()   

  1. 1. Institute of General Surgical Research, the Second Affiliated Hospital, Yangzhou University, Yangzhou 225000, China
  • Received:2016-01-15 Published:2016-08-01
  • Corresponding author: Peijian Zhang
  • About author:
    Corresponding author: Zhang Peijian, Email:
引用本文:

毛旭南, 徐玉彬, 张培建. 腹茧症病因及诊治的研究进展[J/OL]. 中华普通外科学文献(电子版), 2016, 10(04): 311-314.

Xunan Mao, Yubin Xu, Peijian Zhang. Pathogenesis, diagnosis and treatment progress of abdominal cocoon syndrome[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(04): 311-314.

腹茧症以小肠被茧状包裹在一层异常的质韧纤维膜内为其特征,伴随腹膜的主要变化特点为腹膜不断增厚硬化,进而逐渐缩窄,超滤能力下降,导致小肠部分或完全梗阻。该病的病因尚不十分清楚,临床症状缺乏特异性,术前诊断很困难,多在术中或尸检中偶然发现,手术难度极大,术中损伤几乎难以避免。因此,提高对该病的认识和治愈率显得至关重要,本文就此做一综述。

Abdominal cocoon syndrome is characterised by that the small intestine is wrapped in a layer of fiber membrane of anomalies, with major changes of peritoneal thickening, hardening, and then gradually being narrowed, and loss of ultrafiltration, leading to partial or complete intestinal obstruction. The pathogenesis and clinical manifestation of AC is nonspecific; therefore, preoperative diagnosis is difficult. Most cases are accidentally discovered intraoperatively or during autopsy, since surgery is difficult to be scheduled. It is more important to deepen the understanding and improve the cure rate of this disease.

1
Kirshtein B,Mizrahi S,Sinelnikov I, et al. Abdominal cocoon as a rare cause of small bowel obstruction in an elderly man: report of a case and review of the literature[J]. Indian J Surg, 2011,73(1):73-75.
2
Foo KT,Ng KC,Rauff A, et al. Unusual small intestinal obstruc-tion in adolescent girls: the abdominal cocoon[J]. Br J Surg, 1978, 65(6): 427-430.
3
Akbulut S. Accurate definition and management of idiopathic sclerosing encapsulating peritonitis[J]. World J Gastroenterol, 2015, 21(2): 675-687.
4
张帆,胡燕.腹茧症合并不孕症8例临床分析[J].新医学, 2014, 45(2): 108-111.
5
Gupta S,Shirahatti RG,Anand J. CT findings of an abdominal co-coon[J]. AJR Am J Roentgenol, 2004,183(6): 1658-1660.
6
Lin CH,Yu JC,Chen TW, et al. Sclerosing encapsulating perito-nitis in a liver transplant patient: a case report[J]. World J Gastro-enterol, 2005, 11(34): 5412-5413.
7
Tannoury JN,Abboud BN. Idiopathic sclerosing encapsulating peritonitis: abdominal cocoon[J]. World J Gastroenterol, 2012, 18(17): 1999-2004.
8
Kaushik R,Punia RPS,Mohan H, et al. Tuberculous abdomi-nal cocoon-a report of 6 cases and review of the literature[J]. World J Emerg Surg, 2006, 1: 18.
9
Ibrahim NA,Oludara MA. Abdominal cocoon in an adolescent male patient[J]. Trop Doct, 2009, 39(4): 254-256.
10
Hur J,Kim KW,Park MS, et al. Abdominal cocoon: preoperative diagnostic clues from radiologic imaging with pathologic correla-tion[J]. AJR Am J Roentgenol, 2004, 182(3): 639-641.
11
Yamada S,Tanimoto A,Matsuki Y, et al. Sclerosing encapsulat-ing peritonitis (abdominal cocoon) associated with liver cirrhosis and diffuse large B-cell lymphoma: autopsy case[J]. Pathol Int, 2009, 59(9): 681-686.
12
陈凤霞,苏丰丽,任保辉.多发子宫肌瘤合并腹茧症伴不育1例报道及文献复习[J].生殖医学杂志, 2014, 23(4): 328-329.
13
Sohail MZ,Hasan S,Dala-Ali B, et al. Multiple abdominal co-coons: an unusual presentation of intestinal obstruction and a di-agnostic dilemma[J]. Case Rep Surg, 2015: 282368.
14
高振明,王立明,梁锐,等.腹茧症、肝脏不全转位合并胆管癌一例[J/CD].中华普通外科学文献:电子版, 2011, 5(3): 241-242.
15
Keating JP,Neill M,Hill GL. Sclerosing encapsulating peritonitis after intraperitoneal use of povidone iodine[J]. Aust N Z J Surg, 1997, 67(10): 742-744.
16
Kawanishi H,Moriishi M. Encapsulating peritoneal sclerosis: pre-vention and treatment[J]. Perit Dial Int, 2007, 27 Suppl 2: S289-292.
17
Rigby RJ,Hawley CM. Sclerosing peritonitis: the experience in Australia[J]. Nephrol Dial Transplant, 1998,13(1): 154-159.
18
Wei B,Wei HB,Guo WP, et al. Diagnosis and treatment of ab-dominal cocoon: a report of 24 cases[J]. Am J Surg, 2009, 198(3):348-353.
19
Goodlad C,Tarzi R,Gedroyc W, et al. Screening for encapsulating peritoneal sclerosis in patients on peritoneal dialysis: role of CT scanning[J]. Nephrol Dial Transplant, 2011, 26(4): 1374-1379.
20
Sieck JO,Cowgill R,Larkworthy W. Peritoneal encapsulation and abdominal cocoon. Case reports and a review of the literature[J]. Gastroenterology, 1983, 84(6): 1597-1601.
21
李有国,宋茂民,白日星,等.原发性腹茧症的影像学特征、治疗及预后分析[J].首都医科大学学报, 2012, 33(1): 74-78.
22
Wright B,Summers A,Fenner J, et al. Initial observations using a novel "cine" magnetic resonance imaging technique to detect changes in abdominal motion caused by encapsulating peritoneal sclerosis[J]. Perit Dial Int, 2011, 31(3): 287-290.
23
Jovani M,Baticci F,Bonifacio C, et al. Abdominal cocoon or idio-pathic encapsulating peritoneal sclerosis: magnetic resonance im-aging[J]. Dig Liver Dis, 2014, 46(2): 192-193.
24
牟永华,邢人伟,聂寒秋,等.腹茧症并发肠梗阻诊治体会[J].中国医师进修杂志, 2008, 31(8): 64-65.
25
赵淑红. CT诊断左侧十二指肠旁疝1例[J].中国临床医学影像杂志, 2011, 22(3): 177.
26
Balasubramaniam G,Brown EA,Davenport A, et al. The Pan-Thames EPS study: treatment and outcomes of encapsulating peri-toneal sclerosis[J]. Nephrol Dial Transplant, 2009, 24(10): 3209-3215.
27
Tarzi RM,Lim A,Moser S, et al. Assessing the validity of an ab-dominal CT scoring system in the diagnosis of encapsulating peri-toneal sclerosis[J]. Clin J Am Soc Nephrol, 2008, 3(6): 1702-1710.
28
Moustafellos P,Hadjianastassiou V,Roy D, et al. Tamoxifen ther-apy in encapsulating sclerosing peritonitis in patients after kidney transplantation[J]. Transplant Proc, 2006, 38(9): 2913-2914.
29
Allaria PM,Giangrande A,Gandini E, et al. Continuous ambulato-ry peritoneal dialysis and sclerosing encapsulating peritonitis: tamoxifen as a new therapeutic agent?[J]. J Nephrol, 1999, 12(6): 395-397.
30
Kawanishi H,Kawaguchi Y,Fukui H, et al. Encapsulating perito-neal sclerosis in Japan: a prospective, controlled, multicenter study[J]. Am J Kidney Dis, 2004, 44(4): 729-737.
31
Uzunoglu Y,Altintoprak F,Yalkin O, et al. Rare etiology of me-chanical intestinal obstruction: abdominal cocoon syndrome[J]. World J Clin Cases, 2014, 2(11): 728-731.
32
黄江龙,卫洪波,陈桂丽.腹茧症诊治体会[J/CD].中华普通外科学文献:电子版, 2007, 1(2): 104-106.
33
Mohanty D,Jain BK,Agrawal J, et al. Abdominal cocoon: clinical presentation, diagnosis, and management[J]. J Gastrointest Surg, 2009, 13(6): 1160-1162.
34
Clatworthy MR,Williams P,Watson CJ, et al. The calcified ab-dominal cocoon[J]. Lancet, 2008, 371(9622): 1452.
35
屠金夫,黄秀芳,朱冠保,等.腹茧症203例综合分析[J].中华胃肠外科杂志, 2006, 9(2): 133-135.
36
Milone L,Gumbs A. Single incision diagnostic laparoscopy in a patient with sclerosing peritonitis[J]. Surg Laparosc Endosc Percu-tan Tech, 2010, 20(5): e167-168.
37
Qasaimeh GR,Amarin Z,Rawshdeh BN, et al. Laparoscopic diag-nosis and management of an abdominal cocoon: a case report and literature review[J]. Surg Laparosc Endosc Percutan Tech,2010, 20(5): e169-171.
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