Significance of Bottle Gourd sign on computed tomography in patients with abdominal cocoon: a case series

Authors

  • Vishal Sharma
  • Harshal S Mandavdhare
  • Harjeet Singh
  • Ujjwal Gorsi

DOI:

https://doi.org/10.15386/mpr-1147

Keywords:

abdominal cocoon, tuberculosis, surgery, computed tomography

Abstract

Abdominal cocoon is an uncommon entity manifesting as abdominal pain, lump and features of intestinal obstruction. The diagnosis is established by demonstrating a membranous sac covering the small bowel loops which can be seen at the time of surgery or demonstrated by imaging studies like computed tomography (CT) or magnetic resonance imaging. CT has been reported to be of utility in making a preoperative diagnosis. The features may include clumped bowel loops, loculated fluid, cauliflower sign or concertina arrangement of bowel loops. We report on three cases of abdominal cocoon who presented with intestinal obstruction due to three varied etiologies (idiopathic, tuberculosis, malignancy). We also describe a radiological sign, the bottle gourd sign, in these three cases. The sign possibly suggests jejunal obstruction due to formation of abdominal cocoon.

Author Biographies

Vishal Sharma, Assistant Professor of Gastroenterology PGIMER Chandigarh

Assistant Professor of GastroenterologyPGIMER Chandigarh

Harshal S Mandavdhare, Assistant Professor of Gastroenterology PGIMER Chandigarh

Gastroenterology

Harjeet Singh, Assistant Professor of General Surgery PGIMER Chandigarh

General Surgery

Ujjwal Gorsi, Assistant Professor of Radiodiagnosis PGIMER Chandigarh

Radiodiagnosis

Downloads

Published

2019-04-24

How to Cite

1.
Sharma V, Mandavdhare HS, Singh H, Gorsi U. Significance of Bottle Gourd sign on computed tomography in patients with abdominal cocoon: a case series. Med Pharm Rep [Internet]. 2019 Apr. 24 [cited 2025 Oct. 5];92(2):192-4. Available from: https://medpharmareports.com/index.php/mpr/article/view/1147

Issue

Section

Case Report