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Table 1 Patient data

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

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