Abdominal cocoon with eosinophilic infiltrate

2021 ◽  
Author(s):  
Shreyas Chaudhary ◽  
David Toro ◽  
Veral Vishnoi ◽  
Wajiha Sufyan ◽  
Richard Bradbury
Keyword(s):  
Abdominal Cocoon ◽  
Eosinophilic Infiltrate

Abdominal cocoon syndrome: An unusual pathologic finding

2016 ◽  
Author(s):  
Mario Martínez López
Keyword(s):  
Pathologic Finding ◽  
Abdominal Cocoon

Duodenal strongyloidiasis – Our 15-year histopathological experience at a tertiary gastrointestinal centre

2020 ◽  
pp. 004947552096274
Author(s):  
Latika Gupta ◽  
Kavita Gaur ◽  
Puja Sakhuja ◽  
Barjesh C Sharma ◽  
Ravindra K Saran ◽  
...  
Keyword(s):  
Duodenal Biopsy ◽  
Cholestatic Jaundice ◽  
Histopathological Findings ◽  
Young Females ◽  
Eosinophilic Infiltrate ◽  
Elderly Males ◽  
Immunocompromised State ◽  
Duodenal Biopsies

In order to emphasise the importance of histopathology in the clinically unsuspected diagnosis of duodenal strongyloidiasis, we report six cases diagnosed on duodenal biopsies identified from the database over a period of 15 years, and clinical, endoscopic and histopathological findings were analysed retrospectively. Four were elderly males and the remainder young females. Only one patient had an underlying immunocompromised state. Three presented with cholestatic jaundice and simulated hepatobiliary malignancy. In all cases, endoscopy provided non-specific findings. Only one case showed a predominant eosinophilic infiltrate. Eggs, larvae and adult forms of strongyloides were seen in crypts and showed intense basophilic staining on HE stain. It is concluded that since mostly undetected clinically, duodenal biopsy serves as the first step in the diagnosis of strongyloidiasis. Hepatobiliary manifestations, though very infrequent, should raise the suspicion for strongyloidiasis and thus necessitate the need for duodenal biopsy.

A massive air-fluid level on abdominal skiagram: an indicator of hollow viscous perforation inside an abdominal cocoon

2021 ◽  
Author(s):  
Vivek Srivastava ◽  
Pratik K. Jha ◽  
Mohit Mangla ◽  
Mumtaz Ahmad Ansari
Keyword(s):  
Fluid Level ◽  
Abdominal Cocoon

Abdominal cocoon—An uncommon cause of intestinal obstruction

2021 ◽  
Author(s):  
Aritra Kumar Ray ◽  
Atanu Chandra ◽  
Kaustav Samanta ◽  
Uddalak Chakraborty ◽  
Debasish Dey ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Cocoon

Cutaneous Rosai-Dorfman Disease With Increased Number of Eosinophils: Coincidence or Histologic Variant?

2011 ◽  
Vol 135 (12) ◽  
pp. 1597-1600 ◽  
Author(s):  
John J Cangelosi ◽  
Victor G Prieto ◽  
Doina Ivan
Keyword(s):  
Differential Diagnosis ◽  
Pituitary Gland ◽  
Plasma Cells ◽  
S100 Protein ◽  
Clinical Context ◽  
Cutaneous Involvement ◽  
Eosinophilic Infiltrate ◽  
First Case ◽  
Rosai Dorfman Disease ◽  
Skin Biopsies

Rosai-Dorfman disease (RDD) is characterized histologically by a dense histiocytic infiltrate with emperipolesis and associated lymphocytes, plasma cells, and neutrophils. Eosinophils are not commonly associated. We report a patient with initial thymus and pituitary gland involvement by RDD, who later developed papules on the groin and axilla. Skin biopsies showed admixed histiocytic infiltrates (lymphocytes, neutrophils, and plasma cells) without emperipolesis. A prominent eosinophilic infiltrate was also observed, a feature not, to our knowledge, previously reported. Immunohistochemistry revealed positivity for CD68 (most cells) and S100 protein (scattered cells) and was negative for anti-CD1a. The diagnosis of RDD was established in the clinical context after comparison with the thymic and pituitary lesions (similar histologic features, albeit with fewer eosinophils, and immunohistochemical profiles). We present the first case, to our knowledge, of multicentric RDD with cutaneous involvement and associated prominent eosinophilic infiltrate. Thus, RDD should be included in the differential diagnosis of mononuclear infiltrates containing eosinophils.

Idiopathic Abdominal Cocoon: Report of a Case

2008 ◽  
Vol 108 (2) ◽  
pp. 266-268 ◽  
Author(s):  
G. Bas ◽  
R. Eryilmaz ◽  
I. Okan ◽  
A. Somay ◽  
M. Sahin
Keyword(s):  
Abdominal Cocoon

Abdominal cocoon associated with tuberculous pelvic inflammatory disease

2002 ◽  
Vol 75 (890) ◽  
pp. 174-176 ◽  
Author(s):  
S Lalloo ◽  
D Krishna ◽  
J Maharajh
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Abdominal Cocoon

scholarly journals Abdominal cocoon syndrome, a case report of a rare disease entity causing intestinal obstruction

2021 ◽  
Vol 87 ◽  
pp. 106401
Author(s):  
Farah Mohammed ◽  
Mohamed Abdulkarim ◽  
Ammar Ibn Yasir ◽  
Osman Taleballah ◽  
Dafalla Shani ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Rare Disease ◽  
Disease Entity ◽  
Abdominal Cocoon

scholarly journals Imaging and treatment of idiopathic abdominal cocoon in 9 patients

2019 ◽  
Author(s):  
Rui Yu ◽  
Yang Ya ◽  
Xiaoqiong Ni ◽  
Guohua Fan
Keyword(s):  
Abdominal Cocoon

scholarly journals Tuberculous Abdominal cocoon in childern– A Single Centre Study in remote area in northern India

2017 ◽  
Vol 90 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Rikki Singal ◽  
Satyashree B ◽  
Amit Mittal ◽  
Bhanu Pratap Sharma ◽  
Samita Singal ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Medical Sciences ◽  
Abdominal Cocoon ◽  
Northern India ◽  
Single Centre Study ◽  
Encapsulating Peritonitis ◽  
Operative Findings ◽  
A Prospective Study ◽  
Tomography Scan

Background. Amongst the numerous causes of intestinal obstruction listed in the literature, sclerosing encapsulating peritonitis also called Abdominal Cocoon (AC) is one of the rarest entities. Its characteristic feature is a thick fibrotic membrane encasing varying lengths of the small and large gut in a cocoon. In India, there is an increasing incidence of tuberculosis, especially in the rural areas.Aims and objectives. The aim of this study was to investigate the clinical presentation and evaluate the operative findings of tuberculous AC. We also evaluated the outcomes and response to anti tuberculous treatment (ATT) in all the patients diagnosed with this condition.Material and methods. This study was carried out at M.M. Institute of Medical Sciences and Research, Mullana, Ambala, India between April 2013 – March 2016 in the Department of Pediatric Surgery. This is a prospective study. A total of 17 patients diagnosed with abdominal cocoon secondary to tuberculosis have been included in the study.Results. A total of 17 patients presented to the emergency ward with features of acute intestinal obstruction. The average age was 15.3 years (range 9 years to 16 years). There were 14 females and 3 males. All patients presented with abdominal pain, bilious vomiting, constipation and abdominal distention. The patients were operated in our hospital and relieved of their obstruction. Based on their operative findings and after histopathological confirmation, patients were given ATT. In the follow-up, all patients did well, without recurrence of tuberculosis or intestinal obstruction. Conclusion. Tuberculosis as a cause of childhood AC is rather common in developing countries and is potentially a fatal condition. A strong clinical suspicion, sonographic and computed tomography scan findings help establish a pre-operative diagnosis. Tuberculous AC has a strong prevalence in females.  Surgery is the mainstay of treatment followed by anti-tuberculous drugs.

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