Review for 10.1186/s12876-020-01466-x (2020)

Reviewer’ s report
Title: Primary abdominal cocoon with cryptorchidism a case report
Version: 1Date: 22 Apr 2020
Reviewer: Ketan Vagholkar
Reviewer's report:
The title of the case report needs to be modified to achieve congruence with the content of the case
report.Abstract is satisfactorily written.Background: Diseases associated with cocoon formation need to be mentioned. This refers totuberculosis which has similar findings.Care report:1. Description of abdominal signs is inadequate. Standard clinical terminologies need to be used.2. Abdominal x ray findings need to be described elaborately.3. CT has revealed the diagnosis of obstruction. What is meant by the term " started to ventilate"?Did the patient have respiratory issues?4. What was the indication for GI angiography in this case and why after such long time?5. Kindly explain the term intestinal effusion which has been CT finding.6. " Anus began to defecate" is a unscientific way of describing the fact that the patient has startedpassing stools. Needs immediate correction.7. What do you exactly mean by " No special discomfort" in the clinical context of the patient.Discussion:The term "touch " is confusing. Please use clinically relevant terms for describing physical signs.
Conclusion is not appropriate.
If a patient of abdominal cocoon presents as obstruction , then conservative approach is the
mainstay of initial treatment. However if there is worsening of abdominal signs suggestive ofgangrene or perforation surgical intervention is imperative. A minimally invasive approach isadvisable as it would cause least trauma to the abdominal contents thereby reducing the chances ofadhesions. However some amount of morbidity by way of new adhesions is inevitable and has tobe accepted.So in the said case report the inference is confusing with no clear directive for the reader.
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
YesDoes the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Unable to assess
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
NoAre you able to assess any statistics in the manuscript or would you recommend an
additional statistical review?If an additional statistical review is recommended, please specify what aspects require furtherassessment in your comments to the editors.
Not relevant to this manuscript
Quality of written English
Please indicate the quality of language in the manuscript:
Not suitable for publication unless extensively editedDeclaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of thismanuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below.
If your reply is yes to any, please give details below.
1. No
2. No3. No4. No5. No
6. No
I agree to the open peer review policy of the journal. I understand that my name will be included
on my report to the authors and, if the manuscript is accepted for publication, my named reportincluding any attachments I upload will be posted on the website along with the authors'responses. I agree for my report to be made available under an Open Access Creative CommonsCC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any commentswhich I do not wish to be included in my named report can be included as confidential commentsto the editors, which will not be published.
I agree to the open peer review policy of the journal