{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:28:20Z","timestamp":1790044100661,"version":"4.0.1"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Abdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>We admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo-colonic fistula. She was admitted to our hospital for the following reasons: \u201cthe menstrual cycle is prolonged for half a year, and fatigue, palpitations, and shortness of breath for 2 months\u201d. On the morning of the 4th day of admission, the patient experienced sudden, severe, and intolerable abdominal pain after defecating. An emergency abdominal CT examination revealed intestinal obstruction. Surgery was performed, and the small intestine and colon were observed to be conglutinated and twisted into a mass surrounded by a fibrous membrane, and an enteroenteric fistula was observed between the jejunum, ileum, and sigmoid colon. We successfully relieved the intestinal obstruction and performed adhesiolysis. The patient was discharged from our hospital on the 6th postoperative day, then she recovered and was discharged from Feicheng People's Hospital after another 11 days of conservative treatment, and she recovered well-during the 2-month follow-up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Abdominal cocoon coexisting with a jejuno-ileo-colonic fistula is very rare. During the process of abdominal cocoon treatment, the patient's medical history should be understood in detail before the operation, and the abdominal organs should be carefully evaluated during the operation to avoid missed diagnoses.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.856583","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T05:24:40Z","timestamp":1651123480000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Abdominal Cocoon With Jejuno-Ileo-Colonic Fistula"],"prefix":"10.3389","volume":"9","author":[{"given":"Jian","family":"Jiao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshu","family":"Shan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenjun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronghua","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangdi","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Teng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Shang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leping","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1002\/bjs.1800650617","article-title":"Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon","volume":"65","author":"Foo","year":"1978","journal-title":"Br J Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"W176","DOI":"10.2214\/AJR.09.3083","article-title":"An unusual cause of intestinal obstruction: abdominal cocoon","volume":"194","author":"Tombak","year":"2010","journal-title":"AJR Am J Roentgenol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"575","DOI":"10.14744\/tjtes.2019.48380","article-title":"Abdominal cocoon syndrome: a rare cause of acute abdomen syndrome","volume":"25","author":"\u00c7olak","year":"2019","journal-title":"Ulusal travma ve acil cerrahi dergisi"},{"key":"B4","doi-asserted-by":"publisher","first-page":"10380","DOI":"10.3748\/wjg.v22.i47.10380","article-title":"Factors associated with surgery in patients with intra-abdominal fistulizing Crohn's disease","volume":"22","author":"Yaari","year":"2016","journal-title":"World J Gastroenterol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1111\/jog.13066","article-title":"Rectovaginal fistula: 20 years of rectovaginal repair","volume":"42","author":"Lo","year":"2016","journal-title":"J Obstet Gynaecol Res."},{"key":"B6","doi-asserted-by":"publisher","first-page":"651","DOI":"10.3892\/etm.2019.8258","article-title":"Imaging and treatment of idiopathic abdominal cocoon in nine patients","volume":"19","author":"Yu","year":"2020","journal-title":"Exp Ther Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1097\/MCG.0000000000000607","article-title":"Systematic Review Assessing Medical Treatment for Rectovaginal and Enterovesical Fistulae in Crohn's Disease","volume":"50","author":"Kaimakliotis","year":"2016","journal-title":"J Clin Gastroenterol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1194","DOI":"10.1007\/s11605-017-3358-5","article-title":"Abdominal cocoon syndrome: a rare cause for recurrent abdominal pain","volume":"21","author":"Fursevich","year":"2017","journal-title":"J Gastrointestinal Surg: Off J Soc Surg Alimentary Tract."},{"key":"B9","doi-asserted-by":"publisher","first-page":"e142","DOI":"10.18295\/squmj.2016.16.02.003","article-title":"Sclerosing encapsulating peritonitis: review","volume":"16","author":"Machado","year":"2016","journal-title":"Sultan Qaboos Univ Med J."},{"key":"B10","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1590\/s0102-67202014000100019","article-title":"An unusual small bowel obstruction (abdominal cocoon): a case report","volume":"27","author":"Rasihashemi","year":"2014","journal-title":"Arquivos brasileiros de cirurgia digestiva: ABCD"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1053\/jpsu.2001.24746","article-title":"Peritoneal encapsulation: a rare cause of bowel obstruction in children","volume":"36","author":"Mordehai","year":"2001","journal-title":"J Pediatr Surg."},{"key":"B12","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1016\/j.ijscr.2013.08.004","article-title":"Abdominal cocoon-A rare cause of intestinal obstruction","volume":"4","author":"Sharma","year":"2013","journal-title":"Int J Surg Case Rep."},{"key":"B13","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.amjsurg.2008.07.054","article-title":"Diagnosis and treatment of abdominal cocoon: a report of 24 cases","volume":"198","author":"Wei","year":"2009","journal-title":"Am J Surg."},{"key":"B14","doi-asserted-by":"publisher","first-page":"1860","DOI":"10.1007\/s00268-014-2458-6","article-title":"Surgical treatment and perioperative management of idiopathic abdominal cocoon: single-center review of 65 cases","volume":"38","author":"Li","year":"2014","journal-title":"World J Surg."},{"key":"B15","doi-asserted-by":"publisher","first-page":"4958","DOI":"10.3748\/wjg.v22.i20.4958","article-title":"Idiopathic abdominal cocoon syndrome with unilateral abdominal cryptorchidism and greater omentum hypoplasia in a young case of small bowel obstruction","volume":"22","author":"Fei","year":"2016","journal-title":"World J Gastroenterol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s00247-011-2135-y","article-title":"Abdominal cocoon: a unique presentation in an immunodeficient infant","volume":"42","author":"Browne","year":"2012","journal-title":"Pediatr Radiol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/S0009-9260(05)80926-2","article-title":"Sclerosing encapsulating peritonitis in chronic ambulatory peritoneal dialysis","volume":"41","author":"Holland","year":"1990","journal-title":"Clin Radiol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1111\/j.1479-828X.2006.00517.x","article-title":"Sclerosing encapsulating peritonitis and methotrexate","volume":"46","author":"Sachdev","year":"2006","journal-title":"Aust N Z J Obstet Gynaecol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1089\/sur.2017.110","article-title":"Tubercular abdominal cocoon: systematic review of an uncommon form of tuberculosis","volume":"18","author":"Sharma","year":"2017","journal-title":"Surg Infect."},{"key":"B20","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1016\/j.suronc.2018.08.005","article-title":"Sclerosing encapsulating peritonitis as a potential complication of cytoreductive surgery and HIPEC: Clinical features and results of treatment in 4 patients","volume":"27","author":"Liberale","year":"2018","journal-title":"Surg Oncol."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1682","DOI":"10.1681\/ASN.2010111197","article-title":"Blocking TGF-\u03b21 protects the peritoneal membrane from dialysate-induced damage","volume":"22","author":"Loureiro","year":"2011","journal-title":"J Am Soc Nephrol: JASN."},{"key":"B22","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1148\/rg.2019180108","article-title":"Encapsulating peritoneal sclerosis: the abdominal cocoon","volume":"39","author":"Singhal","year":"2019","journal-title":"Radiograp: A Rev Pub Radiol Soc North America."},{"key":"B23","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1177\/000313480707301111","article-title":"The abdominal cocoon: a rare cause of intestinal obstruction in two patients","volume":"73","author":"Cai","year":"2007","journal-title":"Am Surg."},{"key":"B24","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.1007\/s00268-019-05006-x","article-title":"Surgical outcomes in patients with abdominal cocoon: series of 15 patients","volume":"43","author":"Singh","year":"2019","journal-title":"World J Surg."},{"key":"B25","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s10151-008-0442-6","article-title":"Our experience with endoscopic repair of large colonoscopic perforations and review of the literature","volume":"12","author":"Trecca","year":"2008","journal-title":"Tech Coloproctol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"48","DOI":"10.5604\/01.3001.0015.3961","article-title":"The diagnostic role of hemogram parameters in pregnant appendicitis","volume":"94","author":"Somuncu","year":"2021","journal-title":"Pol Przegl Chir."},{"key":"B27","first-page":"643","volume":"34","year":"2013","journal-title":"Zhonghua xue ye xue za zhi"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.856583\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T05:24:43Z","timestamp":1651123483000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.856583\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":27,"alternative-id":["10.3389\/fsurg.2022.856583"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.856583","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]},"article-number":"856583"}}