{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:40:09Z","timestamp":1777902009083,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Military Key Discipline Construction Projects of China","award":["HL21JD1206"],"award-info":[{"award-number":["HL21JD1206"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Abdominal cocoon syndrome is a rare cause of small-bowel obstruction characterized by a fibro-collagenous membrane that surrounds the intestine. Here, we report a documented case in which extensive fibrous membrane stripping was combined with intraoperative placement of a transnasal intestinal decompression tube, achieving rapid recovery and durable patency. We describe a patient in his 60s with intermittent abdominal distension, colicky pain, and complete arrest of flatus and stool. Contrast-enhanced computed tomography revealed clustered jejuno-ileal loops enveloped by soft tissue density, raising suspicion of encapsulating peritonitis. Diagnostic laparoscopy identified a thick, whitish membrane that covered the stomach, whole small intestine, colon, and mesentery; after extensive adhesiolysis, the operation was converted to laparotomy for complete membrane stripping and placement of a transnasal intestinal decompression tube. Histology demonstrated proliferative fibrous tissue without IgG4-positive plasma cell infiltration, excluding IgG4-related disease. The patient resumed oral intake on postoperative day 2, was discharged on day 22, and remained asymptomatic with patent bowel loops on 3-month imaging. This case underscores the importance of cross-sectional imaging for early suspicion, supports a strategy of laparoscopic exploration followed by open decortication when necessary, and suggests that intraoperative nasointestinal tube placement may mitigate early recurrent obstruction.<\/jats:p>","DOI":"10.1177\/00368504251350076","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T02:33:50Z","timestamp":1749522830000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fibrous membrane stripping combined with nasointestinal ileus tube for abdominal cocoon: A case report and literature review"],"prefix":"10.1177","volume":"108","author":[{"given":"Laicheng","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Zong","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenghui","family":"Du","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinghu","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shanghai No. 411 Hospital, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8871-1733","authenticated-orcid":false,"given":"Biao","family":"Gao","sequence":"additional","affiliation":[{"name":"Naval Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.18295\/squmj.2016.16.02.003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1003775"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.9264"},{"key":"e_1_3_3_5_2","article-title":"Advances in the diagnosis and management of IgG4 related disease","volume":"369","author":"Lanzillotta M","year":"2020","unstructured":"Lanzillotta M, Mancuso G, Della-Torre E. Advances in the diagnosis and management of IgG4 related disease. BMJ-Brit Med J 2020; 369: m1067.","journal-title":"BMJ-Brit Med J"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/mrcr\/rxae012"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/2050640620934911"},{"key":"e_1_3_3_8_2","article-title":"IgG4-related diseases: state of the art on clinical practice guidelines","volume":"4","author":"Iaccarino L","year":"2018","unstructured":"Iaccarino L, Talarico R, Scir\u00e8 CA, et al. IgG4-related diseases: state of the art on clinical practice guidelines. RMD Open 2018; 4: e000787.","journal-title":"RMD Open"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011102"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.11.012"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.12.004"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800640402"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20313"},{"key":"e_1_3_3_14_2","first-page":"1776","article-title":"Peritoneal sarcoidosis. An unrecognized cause of sclerosing peritonitis","volume":"37","author":"Ng\u00f4 Y","year":"1992","unstructured":"Ng\u00f4 Y, Messing B, Marteau P, et al. Peritoneal sarcoidosis. An unrecognized cause of sclerosing peritonitis. Digest Dis Sci 1992; 37: 1776\u20131780.","journal-title":"Digest Dis Sci"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.50.3.176"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i28.3101"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650617"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2458-6"},{"key":"e_1_3_3_19_2","first-page":"651","article-title":"Imaging and treatment of idiopathic abdominal cocoon in 9 patients","volume":"19","author":"Yu R","year":"2020","unstructured":"Yu R, Ya Y, Ni X, et al. Imaging and treatment of idiopathic abdominal cocoon in 9 patients. Exp Ther Med 2020; 19: 651\u2013657.","journal-title":"Exp Ther Med"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i17.1999"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.07.054"},{"key":"e_1_3_3_22_2","first-page":"1029","article-title":"Analysis of the efficacy of endoscopic transnasal intestinal obstruction catheter placement during surgery for the treatment of abdominal cocoon syndrome","volume":"41","author":"Shili N","year":"2021","unstructured":"Shili N, Yongtai L, Fuwen L, et al. Analysis of the efficacy of endoscopic transnasal intestinal obstruction catheter placement during surgery for the treatment of abdominal cocoon syndrome. Chin J Pract Surg 2021; 41: 1029\u20131032.","journal-title":"Chin J Pract Surg"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.10.027"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230X-14-180"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"}],"container-title":["Science Progress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00368504251350076","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00368504251350076","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00368504251350076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:16:30Z","timestamp":1777634190000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00368504251350076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/00368504251350076"],"URL":"https:\/\/doi.org\/10.1177\/00368504251350076","relation":{},"ISSN":["0036-8504","2047-7163"],"issn-type":[{"value":"0036-8504","type":"print"},{"value":"2047-7163","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"article-number":"00368504251350076"}}