%0 Case Reports
%T Managing abdominal cocoon syndrome complicated by intestinal necrosis and unexpected amelioration of depression after surgery: a case report.
%A Zhang J
%A Hsieh Y
%A Zheng K
%A Xu J
%J J Med Case Rep
%V 18
%N 1
%D 2024 Jul 6
%M 38970114
暂无%R 10.1186/s13256-024-04650-9
%X <B>BACKGROUND: </B>Abdominal cocoon is a very uncommon yet dangerous cause of intestinal obstruction.<BR><B>METHODS: </B>We present a case of a 62-year-old Asian male patient with a history of depression who exhibited an idiopathic abdominal cocoon complicated by necrosis. Upon laparotomy investigation, nearly the entire small intestine was enveloped in a thick membrane resembling a cocoon, and it was discovered that he lacked a greater omentum. The patient recovered well and was discharged on an oral diet on the 20th day following surgery. During the 3-month follow-up, the patient was asymptomatic, even gaining 10 kg in weight, and noted that his depression had improved.<BR><B>CONCLUSIONS: </B>Small bowel obstruction presents with nonspecific symptoms, posing challenges in differential diagnosis. Contrast-enhanced computed tomography is recommended since it facilitates precise preoperative assessment, optimizing surgical planning and reducing postoperative complications. Remarkably, cessation of antidepressant medication post-surgery hints at a potential correlation between omental deficit, gut microbiota alterations, and depressive symptoms.