Abdominal cocoon syndrome presenting with high-grade small bowel obstruction and postoperative intra-abdominal collection: a case report from Saudi Arabia
Abstract
Abdominal cocoon syndrome, also called idiopathic sclerosing-encapsulating peritonitis, is a rare cause of intestinal obstruction in which bowel loops are enclosed by a fibrocollagenous membrane. Diagnosis is often delayed because symptoms are nonspecific and many cases are confirmed only at operation. We report a case of a 65-year-old man in Saudi Arabia who presented with vomiting, abdominal distension, anorexia, constipation, and colicky epigastric and periumbilical pain. Computed tomography showed high-grade small bowel obstruction at the distal ileum with features of encapsulating peritoneal sclerosis. Diagnostic laparoscopy was converted to open laparotomy because of complex adhesions and a mass involving the distal ileum, right colon, sigmoid colon, and bladder. He underwent adhesiolysis, right hemicolectomy, and ileocolic anastomosis. Recovery was complicated by intra-abdominal collections requiring image guided drainage. He recovered clinically and remained well at follow-up.
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BibTeX
@article{binmoieql2026abdominal,
title = {{Abdominal cocoon syndrome presenting with high-grade small bowel obstruction and postoperative intra-abdominal collection: a case report from Saudi Arabia}},
author = {Leen Y Binmoieql and Abdulmalik Alomayyer and Samaher Alotaibi and Raed I Alshalfan and Mohammed S Almuqbil and Bader A Alsaab},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag988},
url = {https://europepmc.org/article/PMC/PMC13722119},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Abdominal cocoon syndrome presenting with high-grade small bowel obstruction and postoperative intra-abdominal collection: a case report from Saudi Arabia
AU - Leen Y Binmoieql
AU - Abdulmalik Alomayyer
AU - Samaher Alotaibi
AU - Raed I Alshalfan
AU - Mohammed S Almuqbil
AU - Bader A Alsaab
PY - 2026
DA - 2026/10/01
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag988
UR - https://europepmc.org/article/PMC/PMC13722119
AB - Abdominal cocoon syndrome, also called idiopathic sclerosing-encapsulating peritonitis, is a rare cause of intestinal obstruction in which bowel loops are enclosed by a fibrocollagenous membrane. Diagnosis is often delayed because symptoms are nonspecific and many cases are confirmed only at operation. We report a case of a 65-year-old man in Saudi Arabia who presented with vomiting, abdominal distension, anorexia, constipation, and colicky epigastric and periumbilical pain. Computed tomography showed high-grade small bowel obstruction at the distal ileum with features of encapsulating peritoneal sclerosis. Diagnostic laparoscopy was converted to open laparotomy because of complex adhesions and a mass involving the distal ileum, right colon, sigmoid colon, and bladder. He underwent adhesiolysis, right hemicolectomy, and ileocolic anastomosis. Recovery was complicated by intra-abdominal collections requiring image guided drainage. He recovered clinically and remained well at follow-up.
SN - 2042-8812
ER -