Tuberculous abdominal cocoon – a report of 6 cases and review of the Literature

Table 1 Patient data

S No.	Age Sex	Clinical presentation	Operative findings	Operative procedure	H/P findings	Outcome
1	24 M	Intestinal obstruction	Cocoon Mesenteric abscess Tubercles	Adhesiolysis Drainage of abscess	Caseating epithelioid cell granulomas	Discharged Well on follow up
2	9 M	Intestinal obstruction	Cocoon Tubercles	Adhesiolysis	Caseating epithelioid cell granulomas	Enterocutaneous fistula Multiple reoperations Discharged after 4 months Well on follow up
3	23 F	Intestinal obstruction Epigastric mass	Cocoon Gangrene of terminal ileum Abscess	Adhesiolysis Resection Ileostomy and mucus fistula	Caseating epithelioid cell granulomas	Burst abdomen Enterocutaneous fistula Managed conservatively Discharged Well on follow up
4	45 M	Intestinal obstruction	Cocoon Interloop adhesions Tubercles	Adhesiolysis Resection and anastomosis	Caseating epithelioid cell granulomas	Reoperated for obstruction Died
5	17 M	Intestinal obstruction	Cocoon Interloop adhesions Tubercles	Adhesiolysis	Caseating epithelioid cell granulomas	Enterocutaneous fistula Reoperated and exteriorized Discharged Bowel continuity restored after 8 weeks Well on Follow up
6	13 F	Intestinal obstruction	Cocoon Interbowel fistulas	Adhesiolysis	Caseating epithelioid cell granulomas	Enterocutaneous fistula Managed conservatively Discharged Well on follow up

ISSN: 1749-7922