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CT Findings of an Abdominal Cocoon

Santosh Gupta1, R. G. Shirahatti2 and Joshi Anand3

1 Department of Radiology (CT/MR), P. D. Hinduja Hospital, Mahim, Mumbai 400 016, India.
2 Department of Surgery, P. D. Hinduja Hospital, Mumbai 400 016, India.
3 Department of Gastroenterology, P. D. Hinduja Hospital, Mumbai 400 016, India.



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  		Fig. 1A. —56-year-old man with abdominal cocoon. Contrast-enhanced CT scan obtained through upper abdomen shows mild dilatation of duodenum and proximal jejunal loop at site of entry into encapsulated saclike structure.

 


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  		Fig. 1B. —56-year-old man with abdominal cocoon. Contrast-enhanced CT scans of abdomen obtained caudad to A show conglomerate of multiple small-bowel loops seen in center of abdomen, surrounded by thick enhancing saclike structure. Evidence of fluid collection between bowel loops is seen.

 


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  		Fig. 1C. —56-year-old man with abdominal cocoon. Contrast-enhanced CT scans of abdomen obtained caudad to A show conglomerate of multiple small-bowel loops seen in center of abdomen, surrounded by thick enhancing saclike structure. Evidence of fluid collection between bowel loops is seen.

 

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