【摘要】 目的 通过分析1例腹茧症(abdominal cocoon syndrome, AC)病例，探讨这一罕见病的诊断与治疗。方法 回顾性分析腹茧症患者1例，并复习相关文献。结果 患者男性，72岁，以恶心、呕吐、腹痛入院，消化道造影考虑高位不全肠梗阻，腹部CT可疑AC,行剖腹探查术见胃、小肠、结肠及肠系膜均被纤维膜包裹，遂行肠黏连松解术，术后患者症状好转出院。结论 AC缺乏特征性临床表现，患者通常以恶心、呕吐、停止排气排便等肠梗阻表现就诊，需通过病史及影像学检查、甚至剖腹探查来诊断。手术是最为彻底的治疗方法，可有效缓解患者症状。更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of the rare abdominal cocoon syndrome(AC) by a case report.Methods Clinical data of a case of AC were analyzed retrospectively, and the relevant literatures were reviewed. Results A 72-year-old male patient presented with nausea, vomiting and abdominal pain. Double-contrast radiography of the upper gastrointestinal tract suggested the incomplete intestinal obstruction of the upper segment of the intestine. The abdominal CT suggested the suspected AC. Consequently, the exploratory laparotomy was performed, and we found that the stomach, small intestine, colon and mesentery were all surrounded by fibrous capsules. Ultimately, intestinal adhesiolysis was carried out, and the patient’s condition improved and discharged. Conclusion Clinical manifestations of AC are atypical. Affected patients usually ask for medical help due to clinical symptoms of intestinal obstruction like nausea, vomiting and failure of defecation and gas pass. Its diagnosis depends on the history medical, imaging examinations and even exploratory laparotomy. Surgery is the most effective therapeutic strategy for AC, which effectively alleviates the clinical symptoms and signs.更多还原