{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:26:38Z","timestamp":1787761598926,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>A transmesenteric internal hernia (TIH) is a protrusion of a viscus through the mesenteric defect. It is secondary to previous gastrointestinal surgery in an adult. Early diagnosis and management are warranted to prevent the strangulation of the bowel in a TIH. Here, we are reporting a case of a 24-year-old gentleman with COVID-positive status who has presented with cough, abdominal cocoon, and features of subacute intestinal obstruction (SAIO) without any previous history of abdominal surgery. A nonoperative trial is given in the management of abdominal cocoon with SAIO. In contrast, delay in surgical intervention in TIH leads to bowel gangrene. Surprisingly even on contrast-enhanced computed tomography of the abdomen, TIH was not picked up. We have diagnosed this case intraoperatively with gangrene of the bowel. In an abdominal cocoon without any history suggestive of tuberculosis or previous surgery, or any other condition that leads to an intra-abdominal reaction, an internal hernia should be kept as a differential diagnosis. The delay in diagnosis and surgical intervention is associated with potentially disastrous complications.<\/jats:p>","DOI":"10.4103\/njcp.njcp_426_22","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T07:47:07Z","timestamp":1675237627000},"page":"128-131","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Abdominal Cocoon Associated with Internal Hernia in an Adult"],"prefix":"10.4103","volume":"26","author":[{"given":"N","family":"Kumar","sequence":"first","affiliation":[{"name":"Departments of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Katragadda","sequence":"additional","affiliation":[{"name":"Departments of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Mallik","sequence":"additional","affiliation":[{"name":"Departments of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Dhamala","sequence":"additional","affiliation":[{"name":"Departments of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Basu","sequence":"additional","affiliation":[{"name":"Departments of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1,31]]},"reference":[{"key":"R1-20240907","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/1319-3767.65193","article-title":"Large congenital mesenteric defect presenting in an adult","volume":"16","author":"Rehman","year":"2010","journal-title":"Saudi J Gastroenterol"},{"key":"R2-20240907","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.ijscr.2016.12.001","article-title":"An association between transmesenteric internal hernia and abdominal cocoon syndrome: A case report","volume":"30","author":"Altintas","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"R3-20240907","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1007\/s10029-009-0600-4","article-title":"Congenital transmesenteric defect causing bowel strangulation in an adult","volume":"14","author":"Gyedu","year":"2010","journal-title":"Hernia"},{"key":"R4-20240907","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.ijsu.2009.04.013","article-title":"Internal hernia: Complex diagnostic and therapeutic problem","volume":"7","author":"Akyildiz","year":"2009","journal-title":"Int J Surg"},{"key":"R5-20240907","first-page":"808","article-title":"A problem encapsulated: The rare peritoneal encapsulation syndrome","volume":"47","author":"Chew","year":"2006","journal-title":"Singapore Med J"},{"key":"R6-20240907","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.1177\/089686080002004S04","article-title":"Encapsulating peritoneal sclerosis: Definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis","volume":"20","author":"Kawaguchi","year":"2000","journal-title":"Perit Dial Int"},{"key":"R7-20240907","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/00004836-199803000-00017","article-title":"Computed tomography in abdominal cocoon","volume":"26","author":"Wig","year":"1998","journal-title":"J Clin Gastroenterol"},{"key":"R8-20240907","first-page":"46","article-title":"Congenital mesenteric defect: An uncommon cause of bowel obstruction","volume":"75","author":"Benyamini","year":"2016","journal-title":"Hawaii J Med Public Health"},{"key":"R9-20240907","first-page":"103256","article-title":"Transmesenteric hernia with closed-loop small bowel obstruction: A case report","volume":"74","author":"Shrestha","year":"2022","journal-title":"Ann Med Surg (Lond)"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_426_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:01:23Z","timestamp":1787760083000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_426_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_426_22","relation":{},"ISSN":["1119-3077","2229-7731"],"issn-type":[{"value":"1119-3077","type":"print"},{"value":"2229-7731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-06-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}