Agenesis of the greater omentum with primary abdominal cocoon: experience of two cases

AUTHORS : Ganguly NN, Bhattacharjee Nilutpal, Bhoumick Rituparna, Baruah AR, R Anoop
DOI No. :

ABSTRACT : Agenesis of the greater omentum along with primary abdominal cocoon is a rare condition. It is characterized by total or partial encasement of the small bowel inside a membranous bag. We report two cases of primary cocoon causing intestinal obstruction. The first case was encountered in the year 1998 and it was presented in a local conference as well as the Journal of the Association of the Surgeons of Assam. Long 21 years passed before we faced another case of agenesis of the greater omentum with primary abdominal cocoon causing acute dynamic small bowel obstruction. Both the cases were explored for unresolved obstruction and on table findings suggested primary abdominal cocoon. The findings were compared during the second case and the peculiarities were better noted, especially the agenesis of the greater omentum, presence of free peritoneal bodies. Photographs were taken.

Keywords: Intestinal obstruction; hypoplasia; agenesis of greater omentum.

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