2 DISCUSSION
Abdominal cocoon disease is a rare abdominal disease characterized by
part or all of the organs in the abdominal cavity surrounded by a layer
of membrane-like material, shaped like a silkworm cocoon, first reported
and named by Foo et al. [1] in 1978. The author admitted this
patient because of congenital factors. The patient has had repeated
abdominal pain since childhood. It is believed that this patient is a
congenital peritoneal malformation, which is caused by the peritoneal
variability during embryonic development, and the patient complicated
with omentum absent, the sigmoid colon is also wrapped. Most scholars
believe that pre-operative diagnosis is difficult, but abdominal CT
diagnosis is of great help. The author may diagnose pre-operative CT
diagnosis of abdominal cocoon disease. Intraoperative and postoperative
medical examinations have further confirmed this disease. The treatment
includes conservative medical treatment and surgical treatment. The
author of this patient used surgical treatment. During the operation,
the remaining small intestine after the removal of the diseased small
intestine did not cause short bowel syndrome, so the diseased small
intestine was directly removed. The adhesion of the sigmoid colon is not
heavy, so only adhesion release is performed.